Catholic Community Services of Western Washington

Organization Active NPI Case Management Agency · Seattle, WA

NPI 1003964545 · NPPES record last updated Jun 7, 2018

Key facts

NPI
1003964545
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
License
081 (WA)
Legal business name
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Practice address
100 23Rd Ave S
Seattle, WA 98144
Phone
(206) 323-6336
Fax
(206) 328-5699
NPI assigned
Jan 8, 2007
Organization subpart
No

Authorized official

Name
Stephanie M. Thelen
Title
Compliance & Policy Analyst
Phone
(253) 761-3898

Corporate family (same tax ID) 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2249049Catholic Community Services of Western Washington
100 23Rd Ave S, Seattle, WA 98144
Certificate of waiverApr 4, 2028

National Provider Directory

Tax ID family
Catholic Community Services WW (34 organizations share this tax ID)

Locations

100 23rd Ave S
Seattle, WA 98144
Phone (206) 323-6336

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ccsww/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 081 WA Yes
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 081 WA
Adult Mental Health Clinic/Center 261QM0850X 081 WA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 081 WA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 17034300 WA

Addresses

Primary practice location

100 23Rd Ave S
Seattle, WA 98144

Mailing address

100 23Rd Ave S
Seattle, WA 98144-2302
Phone (206) 323-6336

Other identifiers

IdentifierTypeStateIssuer
081OtherWAMENTAL HEALTH
17034300OtherWACHEMICAL DEPENDENCY

Other names

  • Catholic Community Services King County Doing business as

Other providers in Seattle, WA

All providers in Seattle, WA · Case Management Agency in Washington

Sources for this page

Verify at the official NPI Registry.