Provider Demographics
NPI:1487248977
Name:VESNESKI, WILLIAM (MSW, PHD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:VESNESKI
Suffix:
Gender:M
Credentials:MSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5057 37TH AVE S UNIT B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-1903
Mailing Address - Country:US
Mailing Address - Phone:503-957-3785
Mailing Address - Fax:
Practice Address - Street 1:5057 37TH AVE S UNIT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1903
Practice Address - Country:US
Practice Address - Phone:503-957-3785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-24
Last Update Date:2024-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC611202431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty