Provider Demographics
NPI:1356612584
Name:DON SEIDEMANN, MSW,INC
Entity type:Organization
Organization Name:DON SEIDEMANN, MSW,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SEIDEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:206-431-8646
Mailing Address - Street 1:13030 MILITARY RD S
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98168-3085
Mailing Address - Country:US
Mailing Address - Phone:206-431-8646
Mailing Address - Fax:206-439-7216
Practice Address - Street 1:13030 MILITARY RD S
Practice Address - Street 2:SUITE 202
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-3085
Practice Address - Country:US
Practice Address - Phone:206-431-8646
Practice Address - Fax:206-439-7216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000051991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA000101329Medicare PIN