Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laurie J. Goble van Diest, LICSW

Individual provider Clinical Social Worker · NPI 1326539099

Laurie J. Goble van Diest, LICSW is a Clinical Social Worker in Seattle, Washington. Qualified in 1994, 32 years ago. Licensed in Washington.

Years since qualifying
32
Licensed in
WA
In the registry since
2018
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1600 S Columbian Way
Seattle, WA 98108-1565
Phone: (206) 762-2394
Fax: (206) 762-2421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW00009162 (WA)

Record details

NPI number1326539099
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 29, 2018
Last updated in NPPESMay 29, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Not indicated

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