Provider Demographics
NPI:1144362369
Name:SVENSON, CHARLOTTE RUTH (MSW ACSW)
Entity type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:RUTH
Last Name:SVENSON
Suffix:
Gender:F
Credentials:MSW ACSW
Other - Prefix:MRS
Other - First Name:CHARLOTTE
Other - Middle Name:RUTH
Other - Last Name:DORFSMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW ACSW
Mailing Address - Street 1:1601 116TH AVE NE
Mailing Address - Street 2:#104
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004
Mailing Address - Country:US
Mailing Address - Phone:425-453-2826
Mailing Address - Fax:425-453-2818
Practice Address - Street 1:1601 116TH AVE NE
Practice Address - Street 2:#104
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004
Practice Address - Country:US
Practice Address - Phone:425-453-2826
Practice Address - Fax:425-453-2818
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000060121041C0700X
WALF00000876106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist