Provider Demographics
NPI:1538049465
Name:HASENBERG, NICOLE (MSW, LSWAIC, MPH)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:HASENBERG
Suffix:
Gender:F
Credentials:MSW, LSWAIC, MPH
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:SADOW-HASENBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LSWAIC, MPH
Mailing Address - Street 1:2024 E HOWE ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-2944
Mailing Address - Country:US
Mailing Address - Phone:206-669-4336
Mailing Address - Fax:
Practice Address - Street 1:2719 E MADISON ST STE 300
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4752
Practice Address - Country:US
Practice Address - Phone:206-669-4336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASWIA.SC.700226081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical