Individual
CRISTY R NOVOTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-C
Contact information
Practice address
50 W EDMONSTON DR, #208, ROCKVILLE, MD 20852
(206) 627-0010
Mailing address
4616 25TH AVE NE # 516, SEATTLE, WA 98105-4183
(206) 627-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW61024979
WA
1041C0700X
Clinical Social Worker
Primary
LW61024979
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053716985
—
WA
Enumeration date
11/04/2014
Last updated
11/19/2020
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