Basic Information
| Provider Information | |||||||||
| NPI: | 1376261362 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REGIS | ||||||||
| FirstName: | ARACELI | ||||||||
| MiddleName: | RIOS | ||||||||
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| Credential: | MSW, LSWAIC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 450 CENTRAL WAY UNIT 3206 | ||||||||
| Address2: | |||||||||
| City: | KIRKLAND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980334573 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5097317343 | ||||||||
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| Practice Location | |||||||||
| Address1: | 13343 NE BEL RED RD STE 110 | ||||||||
| Address2: | |||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980052274 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4256790801 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2022 | ||||||||
| LastUpdateDate: | 08/16/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | SC61309453 | WA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.