Active NPI
Katie Suzanne Billingslea, MSW, LICSWA
- Clinical Social Worker
- Stanwood, WA
National Provider Identifier
1013628114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC61382652
- Practice address
- 7140 289TH PL NW
Stanwood, WA 98292-8408 - Phone
- (360) 670-9304
- NPI assigned
- Dec 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC61382652 | WA | Primary |
Addresses
Primary practice location
7140 289TH PL NW
Stanwood, WA 98292-8408
Mailing address
7140 289TH PL NW
Stanwood, WA 98292-8408
Phone (360) 670-9304
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
| License | State | Type | Specialty |
|---|---|---|---|
| SC61382652 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bene Therapy PLLC | 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.
-
- Mental Health Counselor
- Seattle, WA
- NPI 1750934071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1013628114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7140 289TH PL NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982928408",
"telephone_number": "360-670-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7140 289TH PL NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982928408",
"telephone_number": "360-670-9304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLINGSLEA",
"first_name": "KATIE",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "MSW, LICSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-08",
"last_updated": "2022-12-08",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC61382652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.