Active NPI
Caitlin C Saunders, LICSW
- Clinical Social Worker
- Issaquah, WA
National Provider Identifier
1023319084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60772409
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LW60772409 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Seattle, WA
- NPI 1265554463
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.