| Amy Husted, LICSW | |
| 15418 Main St, Mill Creek, WA 98012-9030 | |
| (425) 225-8000 | |
| Not Available | 
| Full Name | Amy Husted | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 15418 Main St, Mill Creek, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316603988 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW61149864 (Washington) | Primary | 
| Entity Name | Optum Care Washington Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amy Husted, LICSW 19508 29th Ave Se, Bothell, WA 98012-6913 Ph: (231) 750-5136 | Amy Husted, LICSW 15418 Main St, Mill Creek, WA 98012-9030 Ph: (425) 225-8000 | 
| Michael Gwanjaye, LW61575358 Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14623 Main St Apt B203, Mill Creek, WA 98012 Phone: 425-948-7248 | |
| Stephen Joseph Clark, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17414 Bothell Way Se, Mill Creek, WA 98012 Phone: 425-775-5955 Fax: 425-481-8367 | |
| Ms. Katherine Elizabeth Gilyeat, BCBA, LBA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2209 139th Pl Se, Mill Creek, WA 98012 Phone: 425-248-5222 | |
| Ms. Nancy Lynn Gagliano, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16000 Bothell Everett Hwy, Suite 360, Mill Creek, WA 98012 Phone: 206-218-3016 | |
| Elizabeth Vu, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15129 Main St Ste 201, Mill Creek, WA 98012 Phone: 425-390-8325 | |
| Aisha Khan Qadri, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1401 141st Ct Se, Mill Creek, WA 98012 Phone: 425-492-4940 | |
| Mr. Charles Owen Bartlett Iv, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16000 Bothell Everett Hwy, 360, Mill Creek, WA 98012 Phone: 425-357-9111 |