Provider Demographics
NPI:1316421118
Name:SKIENA, KEVIN DREW (LICSW)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:DREW
Last Name:SKIENA
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 SOUTH COLUMBIAN WAY
Mailing Address - Street 2:MS: S-116-DDTP
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108
Mailing Address - Country:US
Mailing Address - Phone:206-277-3366
Mailing Address - Fax:206-764-2192
Practice Address - Street 1:1660 S COLUMBIAN WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1532
Practice Address - Country:US
Practice Address - Phone:206-277-3366
Practice Address - Fax:206-764-2192
Is Sole Proprietor?:No
Enumeration Date:2018-09-18
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC610800281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical