Provider Demographics
NPI:1194991661
Name:LOVING, BETHLYN LORENE WRIGHT (MSW, LICSW)
Entity type:Individual
Prefix:MS
First Name:BETHLYN
Middle Name:LORENE WRIGHT
Last Name:LOVING
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:MS
Other - First Name:BETSY
Other - Middle Name:WRIGHT
Other - Last Name:LOVING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:11918 246TH ST NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-8129
Mailing Address - Country:US
Mailing Address - Phone:425-501-8894
Mailing Address - Fax:360-474-1948
Practice Address - Street 1:11918 246TH ST NE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-8129
Practice Address - Country:US
Practice Address - Phone:425-501-8894
Practice Address - Fax:360-474-1948
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2015-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000053891041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical