Provider Demographics
NPI:1194252320
Name:BRYSON, DENYEL D (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:DENYEL
Middle Name:D
Last Name:BRYSON
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:PO BOX 48014
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98148-0014
Mailing Address - Country:US
Mailing Address - Phone:206-371-9067
Mailing Address - Fax:
Practice Address - Street 1:3201 NE 7TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-3729
Practice Address - Country:US
Practice Address - Phone:425-228-3440
Practice Address - Fax:425-656-5319
Is Sole Proprietor?:No
Enumeration Date:2017-05-18
Last Update Date:2017-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW601602071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical