Individual
KATRINA HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(562) 286-2072
Mailing address
6727 MARTIN LUTHER KING JR WAY S STE M, SEATTLE, WA 98118-3205
(562) 286-2072
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LW61466078
WA
1041C0700X
Clinical Social Worker
SC61040620
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LW61466078
—
WA
05
—
SC61040620
—
WA
Enumeration date
03/23/2021
Last updated
03/16/2026
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