Search › Washington › 1041C0700X
Justin Ibrahim, LICSW, MSW
NPI 1861985418 · on the registry since 2018 · sole proprietor
Practice
- Address
- 7216 S Ryan St
Seattle, WA 98178 - Phone
- (425) 477-9777
Additional practice sites
- 5602 California Ave Sw, Seattle, WA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101Y00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington