Provider Demographics
NPI:1174756787
Name:MYERS, DANI MARIE (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:DANI
Middle Name:MARIE
Last Name:MYERS
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 UNION AVE SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-2059
Mailing Address - Country:US
Mailing Address - Phone:360-464-5640
Mailing Address - Fax:
Practice Address - Street 1:400 UNION AVE SE
Practice Address - Street 2:SUITE 200
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-2059
Practice Address - Country:US
Practice Address - Phone:360-464-5640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-30
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW600036561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical