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

Individual provider Clinical Social Worker · NPI 1205163193

Pamela Phyllis Lavergne, LICSW is a Clinical Social Worker in Everett, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2009
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.

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Practice location Address checks out

2905A Hewitt Ave
Everett, WA 98201-3821
Phone: (425) 626-1620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2722 Colby Ave, Everett, WA 98201-3557 — (425) 257-1621

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60838119 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence RC00054513 (WA)

Record details

NPI number1205163193
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedNovember 12, 2009
Last updated in NPPESApril 14, 2023
Certification dateApril 14, 2023

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