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

Individual provider Clinical Social Worker · NPI 1952931529

Pauline Fatyga Wray, LICSW is a Clinical Social Worker in Bothell, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2020
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

3305 191st St SE
Bothell, WA 98012-7969
Phone: (312) 933-8414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LW60582677 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW60582677 (WA)

Record details

NPI number1952931529
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 22, 2020
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020

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