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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN MCCORMACK, LICSW

Active

ETHAN MCCORMACK, LICSW is a Social Worker healthcare provider located in SEATTLE, Washington. NPI 1942612494 is currently active in the NPPES registry. Verify at CMS.

Social Worker · SEATTLE, WA

Registration Details

NPI Number
1942612494
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2014 (12.220006166591 yrs)
Last Updated
Jan 28, 2022
Licenses
6801094378 (MI)
LW60626693 (WA)
LW60626693 (WA)

Practice Information

Address
4540 SAND POINT WAY NE STE 200
SEATTLE, WA, 981053941
Browse WA providers · Browse ZIP 98105
Phone
2069872000
Primary Specialty
Social Worker
104100000X
Additional Specialty
Mental Health Counselor
Additional Specialty
Clinical Social Worker
Additional Specialty
Social Worker

Other Social Worker Providers in SEATTLE, WA

Name Credential NPI
WILLIAM F THURMAN ACSW 1487665196
SUZANNE E JAMES 1538172762
ROGER L. ANDERSON MSW 1972618536
NANCY SCHUB LICSW 1588774715
MARK CORREALE MSW 1902918782
JANE POISSON LICSW 1114037140
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.