Perera, Deshika Venezio
Perera, Deshika Venezio is an individual health care provider with primary practice located at 13925 Interurban Ave S Ste 120 , Tukwila WA 98168-5726. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Perera, Deshika Venezio can be contacted via phone (206) 437-4415.Contact Information
Primary practice address
13925 Interurban Ave S Ste 120
Tukwila WA 98168-5726
Phone: (206) 437-4415
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 60997028 | Washington |
Profile Details
| NPI number | 1164065108 |
|---|---|
| LBN Legal business name | Perera, Deshika Venezio |
| Credentials | MSW, LSWAIC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2019 |
| Last updated | Sep 3rd, 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 | 1164065108 | NPPES |
| Washington | Other | 60997028 | DOH LSWAIC CREDENTIAL |
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