Individual provider Active NPI

Ashley Spreda

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1063781318
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC60145256 Issued in WA
Practice address
6869 Woodlawn Ave NE
Suite 114
Seattle, WA 98115-5469
Phone
(617) 682-0158
NPI assigned
Dec 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC60145256 WA Primary

Addresses

Primary practice location

6869 Woodlawn Ave NE
Suite 114
Seattle, WA 98115-5469

Mailing address

6869 Woodlawn Ave NE
Suite 114
Seattle, WA 98115-5469
Phone (617) 682-0158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 9, 2024 through Mar 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC60145256WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1063781318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6869 WOODLAWN AVE NE",
            "address_2": "SUITE 114",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155469",
            "telephone_number": "617-682-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6869 WOODLAWN AVE NE",
            "address_2": "SUITE 114",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155469",
            "telephone_number": "617-682-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPREDA",
        "first_name": "ASHLEY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60145256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.