1760665830 NPI number — MS. LECION LEN MYERS LICSW

Table of content: MS. LECION LEN MYERS LICSW (NPI 1760665830)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760665830 NPI number — MS. LECION LEN MYERS LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MYERS
Provider First Name:
LECION
Provider Middle Name:
LEN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LICSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BROGAN
Provider Other First Name:
LECION
Provider Other Middle Name:
LEN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1760665830
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1429 AVENUE D # 628
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SNOHOMISH
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98290-1742
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
253-307-5685
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
425 15TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SNOHOMISH
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98290-1804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-307-5685
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  SWI.LW70016165 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: RC00054429 . This is a "WASH DEPT. OF HEALTH" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: EIN . This is a "39-4945594" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2026 www.npivalidator.com