Provider Demographics
NPI:1124160650
Name:WESTBY, ROBIN SUE (MSW, LICSW)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:SUE
Last Name:WESTBY
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 N 70TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5123
Mailing Address - Country:US
Mailing Address - Phone:206-784-4933
Mailing Address - Fax:
Practice Address - Street 1:2230 RUCKER AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-2772
Practice Address - Country:US
Practice Address - Phone:425-303-0711
Practice Address - Fax:425-252-4245
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000058441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8803521Medicare ID - Type UnspecifiedSEATTLE OFFICE