Provider Demographics
NPI:1528465481
Name:GARRETT, CECILIA (MSW, LSWAIC)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:GARRETT
Suffix:
Gender:F
Credentials:MSW, LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 S CLOVER DR STE 2
Mailing Address - Street 2:
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-9759
Mailing Address - Country:US
Mailing Address - Phone:509-418-9860
Mailing Address - Fax:
Practice Address - Street 1:1800 S CLOVER DR STE 2
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-9759
Practice Address - Country:US
Practice Address - Phone:509-418-9860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-20
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X, 171W00000X
WASC611801141041C0700X
WALW616380921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171W00000XOther Service ProvidersContractor