Active NPI
Anne Clemente
- Clinical Social Worker
- Seattle, WA
National Provider Identifier
1033789219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC61169562
- Practice address
- 1700 Westlake Ave N Ste 200
Seattle, WA 98109-6212 - Phone
- (206) 454-8382
- NPI assigned
- Jun 29, 2021
- Last updated
- Mar 22, 2025
- Sex
- Female
- Sole proprietor
- No
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 | SC61169562 | WA | Primary |
Addresses
Primary practice location
1700 Westlake Ave N Ste 200
Seattle, WA 98109-6212
Mailing address
1037 NE 65TH St Ste 88382
Seattle, WA 98115-6655
Phone (206) 454-8382
Other names 1
- Stacey Ann Mayer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 10, 2025 through Oct 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC61169562 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742601600000",
"number": "1033789219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 NE 65TH ST STE 88382",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981156655",
"telephone_number": "206-454-8382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 WESTLAKE AVE N STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981096212",
"telephone_number": "206-454-8382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTE",
"first_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2025-03-22",
"certification_date": "2025-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC61169562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACEY",
"last_name": "MAYER",
"middle_name": "ANN",
"credential": "CSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.