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EASTSIDE SOCIAL SKILLS THERAPY
NPI 1770020331
Community/Behavioral Health in Issaquah, WA

Active since January 20, 2017
5431 236TH PL SE, ISSAQUAH, WA 98029(509) 366-5572 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastside Social Skills Therapy NPPES

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

EASTSIDE SOCIAL SKILLS THERAPY (NPI 1770020331) is a healthcare organization registered as a community/behavioral health in Issaquah, Washington and active in the NPI registry since January 2017. The organization lists Penny J Lathum, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1770020331
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEASTSIDE SOCIAL SKILLS THERAPY
Location Address5431 236TH PL SEIssaquah, WA 98029-6844
Mailing Address5431 236th Pl SeIssaquah, WA 98029-6844
Phone(509) 366-5572
Organization SubpartNo
Authorized OfficialPenny J LathumOwner/director · (206) 380-3009
Enumeration DateJanuary 20, 2017
✔ NPI 1770020331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
5431 236TH PL SE, Issaquah, WA 98029
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastside Social Skills Therapy's NPI number?

The NPI number for Eastside Social Skills Therapy is 1770020331. It was assigned to this organization in the NPPES registry on January 20, 2017.

Where is Eastside Social Skills Therapy located?

Eastside Social Skills Therapy is located at 5431 236th Pl SE, Issaquah, WA 98029. The listed phone number is (509) 366-5572.

What is Eastside Social Skills Therapy's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Eastside Social Skills Therapy was last updated on January 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.