Individual provider Active NPI

Michele Elizabeth Mishra, LICSWA

  • Social Worker
  • Redmond, WA
National Provider Identifier
1013723899
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SC61532519 Issued in WA
Practice address
7902 168TH Ave NE Ste 101
Redmond, WA 98052-4445
Phone
(425) 472-2681
Fax
(425) 968-5619
NPI assigned
Dec 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SC61532519 WA Primary

Addresses

Primary practice location

7902 168TH Ave NE Ste 101
Redmond, WA 98052-4445

Mailing address

769 Hayes St Apt 309
Seattle, WA 98109-3000

Other practice location 1

769 Hayes St Apt 309
Seattle, WA 98109-3000
Phone (315) 310-2356

Other names 1

  • Miss Michele Elizabeth Howarth Former name

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

LicenseStateTypeSpecialty
SC61532519WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lightheart Associates PS CurrentSince Dec 8, 2024 Accepting new patients

Locations

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

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": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1013723899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 HAYES ST APT 309",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 168TH AVE NE STE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524445",
            "telephone_number": "425-472-2681",
            "fax_number": "425-968-5619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "769 Hayes St Apt 309",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981093000",
            "country_code": "US",
            "telephone_number": "315-310-2356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "MICHELE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LICSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC61532519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "HOWARTH",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.