Provider Demographics
NPI:1427173731
Name:DUROE, JOAN TAUSCH
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:TAUSCH
Last Name:DUROE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JOAN
Other - Middle Name:ELIZABETH
Other - Last Name:TAUSCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:1818 WESTLAKE AVE N
Mailing Address - Street 2:SUITE 312
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2777
Mailing Address - Country:US
Mailing Address - Phone:206-284-5325
Mailing Address - Fax:206-726-0661
Practice Address - Street 1:1818 WESTLAKE AVE N
Practice Address - Street 2:SUITE 312
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2777
Practice Address - Country:US
Practice Address - Phone:206-284-5325
Practice Address - Fax:206-726-0661
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000046981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WADU0030OtherREGENCE BLUE SHIELD
WA143717OtherPREMERA BLUE CROSS
WALW00004698OtherSTATE CLINICAL SOCIAL WOR
WAABECSW 22296OtherAMERICAN BOARD OF EXAMINE
WALW00004698OtherSTATE CLINICAL SOCIAL WOR