Provider Demographics
NPI:1518514645
Name:GEERS, ELISHA ASANA (LICSW)
Entity type:Individual
Prefix:
First Name:ELISHA
Middle Name:ASANA
Last Name:GEERS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4210 236TH ST SW APT V203
Mailing Address - Street 2:
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-6307
Mailing Address - Country:US
Mailing Address - Phone:206-385-8727
Mailing Address - Fax:
Practice Address - Street 1:4210 236TH ST SW APT V203
Practice Address - Street 2:
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-6307
Practice Address - Country:US
Practice Address - Phone:206-385-8727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-22
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC60979782104100000X, 104100000X
WALW613562221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical