Provider Demographics
NPI:1285325472
Name:PATNEAUDE, ARIKA F (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:ARIKA
Middle Name:F
Last Name:PATNEAUDE
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:ARIKA
Other - Middle Name:MOORE
Other - Last Name:PATNEAUDE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:6830 NE BOTHELL WAY # C-436
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-3546
Mailing Address - Country:US
Mailing Address - Phone:425-318-9356
Mailing Address - Fax:
Practice Address - Street 1:6830 NE BOTHELL WAY # C-436
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-3546
Practice Address - Country:US
Practice Address - Phone:425-318-9356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW603412691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical