KELLY DRUIN SIEVERTSON LICSW NPI 1285010868

NPI Information

  • NPI: 1285010868
  • Provider Name: KELLY DRUIN SIEVERTSON, LICSW
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 316 MAIN ST
    SUITE B
    EDMONDS, WA
    ZIP 98020
  • Phone: (206) 486-0295

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NPI Details

KELLY DRUIN SIEVERTSON, LICSW is a clinic center in Edmonds, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KELLY DRUIN SIEVERTSON, LICSW NPI is 1285010868. The provider is registered as an organization entity type.

The provider's business location address is:

316 MAIN ST
SUITE B
EDMONDS, WA
ZIP 98020-197
Phone: (206) 486-0295

The provider's authorized official is Kelly Sievertson .
The authorized official title is Owner and has the following contact phone number (206) 486-0295.

The enumeration date for this NPI number is 8/5/2015 and was last updated on 8/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterLW60229562WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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