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RQ

Riley Quinn

Withdrawn / Cancelled
TR-2026-012 · DOB 1996-05-19
Closed 2026-05-18 by Dana Reyes · Reason: Other — Client declined services.
Date Created
2026-05-04
Assigned GOALS Case Manager
Dana Reyes
Assigned Assessor
Unassigned
ProviderOne ID
142500119WA
Medicaid Eligibility
Verified
WLP Status
Verified
Current Outside Agency
Plymouth Housing
Transferring Programs
Housing
Service County
King
Service City
Seattle

Program Transfer Summary

ProgramCurrent AgencyRouteAuthorization StatusGOALS Program Status
HousingPlymouth HousingTransfer to GOALSPending for AuthNot Active

Client Information

Preferred Name
—
Date of Birth
1996-05-19
ProviderOne ID
142500119WA
Primary Phone
(206) 555-0158
Secondary Phone
—
Email
riley.quinn@example.com
Address
760 Rainier Ave S, Seattle, WA 98144
Service County
King
Service City
Seattle
Preferred Contact
Phone
Preferred Language
English
Intake Source
Transfer-In

Current Agency and Provider

Agency
Plymouth Housing
Agency Contact
Karen Osborne
Agency Phone
(206) 555-0176
Agency Email
karen.osborne@plymouthhousing.example.com
Current Provider
Karen Osborne
Provider Phone
(206) 555-0176
Provider Email
karen.osborne@plymouthhousing.example.com
Transfer Request Date
2026-05-04
Transfer Reason
Client requested transfer of Housing services to GOALS Downtown Seattle.
Additional Notes
—

GOALS Assignment

Case Manager
Dana Reyes
Assigned Assessor
Unassigned
Supervisor
Dana Reyes
GOALS Service County
King
GOALS Service City
Seattle
Expected Transfer Date
—
Internal Notes
—