Provider Demographics
NPI:1447132576
Name:ARBOGAST, MADELIN (LSWAIC)
Entity type:Individual
Prefix:
First Name:MADELIN
Middle Name:
Last Name:ARBOGAST
Suffix:
Gender:F
Credentials:LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5015 TIETON DR STE 1
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3497
Mailing Address - Country:US
Mailing Address - Phone:509-952-2420
Mailing Address - Fax:
Practice Address - Street 1:5015 TIETON DR
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3497
Practice Address - Country:US
Practice Address - Phone:509-952-2420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker