Provider Demographics
NPI:1215482401
Name:ESCARCEGA, DAWN MARIE CARMELITA (MSW)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE CARMELITA
Last Name:ESCARCEGA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:MARIE CARMELITA
Other - Last Name:BARRETT, VANHOOF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16549 AURORA AVE N
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-5308
Mailing Address - Country:US
Mailing Address - Phone:206-533-2600
Mailing Address - Fax:
Practice Address - Street 1:16549 AURORA AVE N
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-5308
Practice Address - Country:US
Practice Address - Phone:206-533-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC60652563104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker