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

Lynn Hackstaff, LICSW

Individual provider Physician Assistant · NPI 1033313184

Lynn Hackstaff, LICSW is a Physician Assistant in Mountlake Terrace, Washington. Practices as a sole proprietor. Licensed in California and Washington.

Licensed in
CA, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

6505 216th St SW Ste 100
Mountlake Terrace, WA 98043-2089
Phone: (425) 640-7009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60995388 (WA)
Physician Assistant Taxonomy 363A00000X · Licence LCS11925 (CA)

Record details

NPI number1033313184
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 13, 2007
Last updated in NPPESJuly 30, 2021
Certification dateJuly 28, 2021
Mailing address1021 Se Everett Mall Way Unit L, Everett, WA 98208-2809

Other providers in Mountlake Terrace