Individual
CAITLYN ROSE LIECHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW61212631
WA
1041C0700X
Clinical Social Worker
8331536-3501
UT
1041C0700X
Clinical Social Worker
Primary
LW61212631
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730517020
—
WA
Enumeration date
10/23/2013
Last updated
11/08/2022
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