Provider Demographics
NPI:1730269457
Name:ENGLISH, KAY JORDAN (MSW,LCSW)
Entity type:Individual
Prefix:MRS
First Name:KAY
Middle Name:JORDAN
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2926 28TH AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-2706
Mailing Address - Country:US
Mailing Address - Phone:206-300-9571
Mailing Address - Fax:
Practice Address - Street 1:511 28TH AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4161
Practice Address - Country:US
Practice Address - Phone:206-300-9571
Practice Address - Fax:206-282-4598
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000096571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA30-0593478OtherTAX ID #