Individual provider Active NPI

Caitlin C Saunders, LICSW

  • Clinical Social Worker
  • Issaquah, WA
National Provider Identifier
1023319084
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60772409 Issued in WA
Practice address
22525 SE 64TH PL Ste 200
Issaquah, WA 98027-5307
Phone
(206) 485-3559
NPI assigned
Nov 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Clinical Social Worker 1041C0700X LW60772409 WA Primary

Addresses

Primary practice location

22525 SE 64TH PL Ste 200
Issaquah, WA 98027-5307

Mailing address

22717 135TH Ave SE
Kent, WA 98042-3730

Other practice location 1

901 Rainier Ave S
Seattle, WA 98144-2839
Phone (206) 470-3856

Other practice location 2

4033 Talbot Rd S Ste 440
Renton, WA 98055-5767
Phone (425) 228-3440 ext. 2157

Other practice location 3

22717 135th Ave SE
Kent, WA 98042-3730
Phone (775) 997-4499

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
LW60772409WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Human Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1023319084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22717 135TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980423730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22525 SE 64TH PL STE 200",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275307",
            "telephone_number": "206-485-3559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Rainier Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981442839",
            "country_code": "US",
            "telephone_number": "206-470-3856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4033 Talbot Rd S Ste 440",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555767",
            "country_code": "US",
            "telephone_number": "425-228-3440 x2157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22717 135th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980423730",
            "country_code": "US",
            "telephone_number": "775-997-4499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "CAITLIN",
        "middle_name": "C",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60772409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.