Provider Demographics
NPI:1215154059
Name:SARAIYA, URMI S (LICSW)
Entity type:Individual
Prefix:
First Name:URMI
Middle Name:S
Last Name:SARAIYA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:URMI
Other - Middle Name:S
Other - Last Name:SARAIYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:17544 MIDVALE AVE N
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-4921
Mailing Address - Country:US
Mailing Address - Phone:206-353-0903
Mailing Address - Fax:
Practice Address - Street 1:17544 MIDVALE AVE N
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-4921
Practice Address - Country:US
Practice Address - Phone:206-353-0903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW00008664101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALW00008664OtherLICSW