Individual provider · Type 1 NPI

Douglas Mark Whalen, LICSW

Clinical Social Worker · Sammamish, WA

NPI number 1114593886 Active

Practice location

22620 SE 4th St Ste 130
Sammamish, WA 98074-7375

Fax (425) 974-7861

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW61657034 (WA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1114593886

Douglas Mark Whalen, LICSW's National Provider Identifier is 1114593886, issued on Jun 2, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sammamish, WA. The record was last updated on Jul 8, 2025.