Provider Demographics
NPI:1265098743
Name:OZOLIN, CIERRA A (PHD, LICSW, SUDPT)
Entity type:Individual
Prefix:DR
First Name:CIERRA
Middle Name:A
Last Name:OZOLIN
Suffix:
Gender:F
Credentials:PHD, LICSW, SUDPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 S 19TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-2961
Mailing Address - Country:US
Mailing Address - Phone:253-593-6641
Mailing Address - Fax:
Practice Address - Street 1:5410 N 44TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98407-3799
Practice Address - Country:US
Practice Address - Phone:253-759-9544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-10
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA615506011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical