Individual provider · Type 1 NPI

Tyteisha Queen, MSW, LSWAIC

Clinical Social Worker · Bainbridge Island, WA

NPI number 1790667111 Active

Practice location

12039 Minnie Rose Ln NE
Bainbridge Island, WA 98110-7503

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSC61686961 (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 1790667111

Tyteisha Queen, MSW, LSWAIC's National Provider Identifier is 1790667111, issued on Jul 24, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bainbridge Island, WA. The record was last updated on Jul 24, 2025.