Individual provider Active NPI

Erin Elizabeth Buley

  • Clinical Social Worker
  • Federal Way, WA
National Provider Identifier
1003630831
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61508713 Issued in WA
Practice address
33455 6TH Ave S Ste 2C
Federal Way, WA 98003-6074
Phone
(253) 210-4230
NPI assigned
Nov 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW61508713 WA Primary

Addresses

Primary practice location

33455 6TH Ave S Ste 2C
Federal Way, WA 98003-6074

Mailing address

33455 6TH Ave S Ste 2C
Federal Way, WA 98003-6074

Other names 1

  • Erin Elizabeth Carnes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125000899 WA Practitioner - Clinical Social Worker 2769917905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lightheart Associates PSGroup PAC ID 2163889981, 45 clinicians

Practice addresses (Care Compare)

33455 6TH Ave S
Suite 2C
Federal Way, WA 98003-6074
Phone (253) 210-4230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lightheart Associates PS Clinical CurrentSince Nov 1, 2024 Accepting new patients
Dr. Kathleen Worsley PastSince Nov 1, 2024 Accepting new patients

Locations

33455 6th Ave S
Ste 2C
Federal Way, WA 98003
Phone (253) 210-4230

7902 168th Ave NE
Ste 101
Redmond, WA 98052
Phone (425) 472-2681

Organizations & group practices 2

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": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1003630831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33455 6TH AVE S STE 2C",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33455 6TH AVE S STE 2C",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036074",
            "telephone_number": "253-210-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULEY",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61508713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "CARNES",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.