Individual provider · Type 1 NPI

Susan Wickersham Davenport, MSW

Clinical Social Worker · Seattle, WA

NPI number 1174634091 Active

Practice location

1660 S Columbian Way
Seattle, WA 98108-1532

Fax (206) 764-2514

Mailing address

6827 20th Ave NE
Seattle, WA 98115-6945

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW00004576 (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 1174634091

Susan Wickersham Davenport, MSW's National Provider Identifier is 1174634091, issued on Aug 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Seattle, WA. The record was last updated on Sep 29, 2008.