Provider Demographics
NPI:1528145703
Name:ELSNER, KATHLEEN J (MSW)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:J
Last Name:ELSNER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:KATHIE
Other - Middle Name:J
Other - Last Name:ELSNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, ACSW, LICSW
Mailing Address - Street 1:1309 114TH AVE SE
Mailing Address - Street 2:SUITE 316
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6903
Mailing Address - Country:US
Mailing Address - Phone:425-455-1290
Mailing Address - Fax:
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:M/S CB
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:425-454-9003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW00005914101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical