Tyteisha Queen, MSW, LSWAIC
Clinical Social Worker · Bainbridge Island, WA
Practice location
12039 Minnie Rose Ln NEBainbridge Island, WA 98110-7503
- Phone
- (206) 595-6223
NPI record
- NPI
- 1790667111
- Entity type
- Individual (Type 1)
- Enumeration date
- July 24, 2025
- Last updated
- July 24, 2025
- Certified
- July 24, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Social Worker Primary | 1041C0700X |
SC61686961 | WA |
About Tyteisha Queen
Tyteisha Queen, MSW, LSWAIC is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 12039 Minnie Rose Ln NE, Bainbridge Island, WA 98110-7503. The NPI number 1790667111 was assigned on July 24, 2025 and the record was last updated on July 24, 2025.
Tyteisha Queen lists a license in the registry: #SC61686961 (WA) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Tyteisha Queen, MSW, LSWAIC?
The NPI number is 1790667111.
What is the phone number of Tyteisha Queen?
The phone number listed for the practice location is (206) 595-6223.
Where is Tyteisha Queen located?
12039 Minnie Rose Ln NE, Bainbridge Island, WA 98110-7503.
What is the taxonomy code for Tyteisha Queen?
The primary taxonomy code is 1041C0700X – Clinical Social Worker.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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