Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Colby James Rezayat, LICSW, SUDPT, GMHS

Individual provider Clinical Social Worker · NPI 1447666532

Mr. Colby James Rezayat, LICSW, SUDPT, GMHS is a Clinical Social Worker in Mount Vernon, Washington. Works from 3 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2014
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

816 N 15th St
Mount Vernon, WA 98273-3417
Phone: (360) 421-2065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 614 Peterson Rd, Burlington, WA 98233-2606 — (360) 757-0131
  • 811 Madison St, Everett, WA 98203-4543 — (425) 212-4285

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW61096339 (WA)

Record details

NPI number1447666532
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW , SUDPT , GMHS
Sole proprietorNo
NPI enumeratedJuly 9, 2014
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

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