Michael Gwanjaye, LW61575358

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61575358 Issued in WA

Practice address

14623 Main St Apt B203
Mill Creek, WA 98012-2013

Phone

(425) 948-7248

NPI assigned

Jun 30, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Western Psychological and Counseling Services LLCGroup PAC ID 7719975085, 331 clinicians

Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindful Therapy Group PC

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678

  Mental Health

  Medicare reassignment Care Compare group NPD
• Western Psychological and Counseling Services LLC

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1629345731
  Medicare reassignment Care Compare group
• Kikalu PLLC

  • Adult Mental Health Clinic/Center
  • Mountlake Terrace, WA
  • NPI 1538851191
  NPD Authorized official

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1013649698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14623 MAIN ST APT B203",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980122013",
            "telephone_number": "259-487-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14623 MAIN ST APT B203",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980122013",
            "telephone_number": "425-948-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWANJAYE",
        "first_name": "MICHAEL",
        "credential": "LW61575358",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61575358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren S Greenhalgh, DDS
• Enid Carla Griffin, PSY.D.
• Jennifer Marie Gross, PSYD
• Victor H. Grutchfield, RPH
• Hemanth Kumar Gurrala
• Akiko Hall, MD
• Joseph N. Hall, DPM,FACFAS
• Megan Ann Hall, MSW, LICSW
• Cheryl D Hamack, MA LMHC
• Grace Hamilton

• Clinical Social Worker in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.