Individual provider Active NPI

Mary Beth Elliott, LICSW

  • Clinical Social Worker
  • Federal Way, WA
National Provider Identifier
1003225657
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW000005933 Issued in WA
Practice address
33400 9TH Ave S Ste 100
Federal Way, WA 98003-2607
Phone
(206) 567-7267
NPI assigned
Aug 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW117540 MA
Clinical Social Worker 1041C0700X LW000005933 WA Primary

Addresses

Primary practice location

33400 9TH Ave S Ste 100
Federal Way, WA 98003-2607

Mailing address

33400 9TH Ave S Ste 100
Federal Way, WA 98003-2607
Phone (206) 567-7267

Other practice location 1

521 Mount Auburn St Ste 205
Watertown, MA 02472-4153
Phone (614) 855-9295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW117540MAMDClinical Social Worker
LW000005933WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling Center LLC Clinical Past Accepting new patients

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": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1003225657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33400 9TH AVE S STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980032607",
            "telephone_number": "206-567-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33400 9TH AVE S STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980032607",
            "telephone_number": "206-567-7267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Mount Auburn St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "MA",
            "postal_code": "024724153",
            "country_code": "US",
            "telephone_number": "614-855-9295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "MARY BETH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW117540",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW000005933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.