Hackstaff, Lynn
Hackstaff, Lynn is an sole proprietor health care provider with primary practice located at 6505 216Th St Sw Ste 100 , Mountlake Terrace WA 98043-2089. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hackstaff, Lynn can be contacted via phone (425) 640-7009.Contact Information
Primary practice address
6505 216Th St Sw Ste 100
Mountlake Terrace WA 98043-2089
Phone: (425) 640-7009
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | LCS11925 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW60995388 | Washington |
Profile Details
| NPI number | 1033313184 |
|---|---|
| LBN Legal business name | Hackstaff, Lynn |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Jul 30th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033313184 | NPPES |
| Washington | Other | 60995388 | INDEPENDENT CLINICAL SOCIAL WORKER LICENSE |
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