Dianna K Altena, R.N., LICSW
Individual provider Active NPI Mental Health Counselor · Seattle, WA
NPI 1750436143 · NPPES record last updated Nov 30, 2009
Key facts
- NPI
- 1750436143
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LW00004680 (WA)
- Practice address
- 4800 Sand Point Way NE
Ms W3636
Seattle, WA 98105-3901 - Phone
- (206) 987-0000
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00004680 | WA | MD | Clinical Social Worker |
| RN00045814 | WA | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW00004680 | WA | |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | RN00045814 | WA | |
| Mental Health Counselor | 101YM0800X | LW00004680 | WA | Yes |
Addresses
Primary practice location
4800 Sand Point Way NE
Ms W3636
Seattle, WA 98105-3901
Mailing address
4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone (206) 987-2000
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.