NPI 1003326646

Kathryn Amanda Lidgard, LSWAIC

Practitioner Clinical Social Worker Seattle, WA

Practice location

Address: 2100 24th Ave S STE 260, Seattle, WA 98144-4644
Phone: (206) 715-6051

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence SC60970292 (WA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003326646
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2017
Record last updated: 5 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.