Individual provider Active NPI

Katharine Margaret Botelle Wolhart, MSW, LICSW

  • Clinical Social Worker
  • Bellingham, WA
National Provider Identifier
1003064817
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00009583 Issued in WA
Practice address
410 W. Bakerview Rd. Suite 110
Office 110
Bellingham, WA 98226-9822
Phone
(360) 926-5647
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X LW00009583 WA Primary

Addresses

Primary practice location

410 W. Bakerview Rd. Suite 110
Office 110
Bellingham, WA 98226-9822

Mailing address

26910 92ND Ave NW Ste C5-203
Stanwood, WA 98292-5437
Phone (360) 926-5647

Other practice location 1

320 Pacific Pl
Mount Vernon, WA 98273-5463
Phone (360) 416-7545

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://kathy-botellewolhart.clientsecure.me Health Information Exchange (HIE)
CONNECT URL https://kathy-botellewolhart.clientsecure.me. Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW00009583WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katharine Botelle Wolhart PLLC Clinical CurrentSince Mar 4, 2021 Accepting new patients

Locations

410 W Bakerview Rd
Ste 110
Bellingham, WA 98226
Phone (360) 255-8260

26910 92nd Ave NW
Ste C5203
Stanwood, WA 98292

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1003064817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26910 92ND AVE NW STE C5-203",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982925437",
            "telephone_number": "360-926-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W. BAKERVIEW RD. SUITE 110",
            "address_2": "OFFICE 110",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269822",
            "telephone_number": "360-926-5647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Pacific Pl",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982735463",
            "country_code": "US",
            "telephone_number": "360-416-7545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTELLE WOLHART",
        "first_name": "KATHARINE",
        "middle_name": "MARGARET",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00009583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://kathy-botellewolhart.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Simple Practice Domain Name & Client Portal Access",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "26910 92nd Ave NW Ste C5-203",
            "city": "Stanwood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982925437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://kathy-botellewolhart.clientsecure.me.",
            "affiliation": "N",
            "endpointDescription": "Simple Practice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "410 W. Bakerview Rd. Suite 110",
            "address_2": "Office 110",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982269822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.