Provider Demographics
NPI:1124164983
Name:STERCHI, DENISE PATRICIA (LICSW)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:PATRICIA
Last Name:STERCHI
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:843 NE 66TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-5553
Mailing Address - Country:US
Mailing Address - Phone:206-276-6063
Mailing Address - Fax:206-523-4780
Practice Address - Street 1:843 NE 66TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-5553
Practice Address - Country:US
Practice Address - Phone:206-276-6063
Practice Address - Fax:206-523-4780
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW00005687101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAST6897OtherREGENCE BLUESHIELD
GAB35252Medicare ID - Type Unspecified