Provider Demographics
NPI:1992234686
Name:PAPASIAN, AUSTIN (LICSW, SUDP)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:
Last Name:PAPASIAN
Suffix:
Gender:F
Credentials:LICSW, SUDP
Other - Prefix:
Other - First Name:ZOE
Other - Middle Name:
Other - Last Name:PAPASIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:203 4TH AVE E STE 413
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-1189
Mailing Address - Country:US
Mailing Address - Phone:360-523-7153
Mailing Address - Fax:
Practice Address - Street 1:4405 7TH AVE SE
Practice Address - Street 2:SUITE 200-2301
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-1055
Practice Address - Country:US
Practice Address - Phone:360-523-7153
Practice Address - Fax:360-282-1010
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2024-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW611046101041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical