Provider Demographics
NPI:1740606219
Name:WRIGHT, KATHARINE M (LICSW, PMHNP-BC, RN)
Entity type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:M
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LICSW, PMHNP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14900 INTERURBAN AVE S STE 271
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98168-4654
Mailing Address - Country:US
Mailing Address - Phone:206-579-3926
Mailing Address - Fax:206-299-7597
Practice Address - Street 1:14900 INTERURBAN AVE S STE 271
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-4654
Practice Address - Country:US
Practice Address - Phone:206-579-3926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-08
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW602735781041C0700X
WARN61331634163W00000X
WAAP70026052363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health