Provider Demographics
NPI:1447864889
Name:STARER, NOAH (LICSW)
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:
Last Name:STARER
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3703 S EDMUNDS ST # 32
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-1728
Mailing Address - Country:US
Mailing Address - Phone:206-317-1971
Mailing Address - Fax:
Practice Address - Street 1:3719 S ANGELINE ST APT 2
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1761
Practice Address - Country:US
Practice Address - Phone:206-930-8940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LW000062601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical