Individual
AUDRA B ADELBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4001 NE 50TH ST APT J, SEATTLE, WA 98105-2962
(206) 713-6225
Mailing address
5038 NICKLAS PL NE, SEATTLE, WA 98105-2811
(206) 713-6225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005009
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137973
VALUE OPTIONS PROVIDER #
WA
01
—
214148100000
PREMERA BLUE CROSS #
WA
Enumeration date
10/23/2006
Last updated
07/08/2007
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