MARIA TERESA SUBERCASEAUX MS - NPI 1396891941

Q: What is Maria Subercaseaux's NPI number?

The NPI number for Maria Subercaseaux is 1396891941. It was assigned to this individual provider in the NPPES registry on January 26, 2007. The provider is also known as Tita Subercaseaux.

Q: What is Maria Subercaseaux's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

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About Maria Teresa Subercaseaux Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA TERESA SUBERCASEAUX MS (NPI 1396891941) is an individual mental health provider in Seattle, Washington, licensed in Washington (RC00050443) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1396891941

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARIA TERESA SUBERCASEAUXCredential: MS

Location Address564 NE RAVENNA BLVDSeattle, WA 98115-6460

Mailing Address564 Ne Ravenna BlvdSeattle, WA 98115-6460 · (206) 527-2266 · Fax (206) 527-1009

Phone(206) 527-2266

Fax(206) 527-1009

Sole ProprietorNo

Enumeration DateJanuary 26, 2007

Last NPPES UpdateAugust 30, 2010

✔ NPI 1396891941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · RC00050443

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License LF60143396 (WA)

564 NE RAVENNA BLVD, Seattle, WA 98115

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Other Names 1

Other Name (5)Tita Subercaseaux

Other Identifiers 1

Medicaid1980689WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES YOUNG AULTMAN

Social Worker (Clinical)