Individual provider Active NPI

Toni Jo Principe, LICSW

  • Clinical Social Worker
  • Olympia, WA
National Provider Identifier
1073216784
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61243921 Issued in WA
Practice address
2120 State Ave NE
Olympia, WA 98506-6514
Phone
(360) 207-0660
Fax
(360) 515-4753
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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 LW61243921 WA Primary

Addresses

Primary practice location

2120 State Ave NE
Olympia, WA 98506-6514

Mailing address

1910 East 4TH Ave
PMB 35
Olympia, WA 98506-4764
Phone (360) 207-0660

Other practice location 1

924 Capitol Way S Ste 209
Olympia, WA 98501-1210
Phone (360) 207-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 9, 2025 through Sep 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW61243921WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Toni Principe Licsw, PLLC Clinical CurrentSince Feb 23, 2025 Accepting new patients

Locations

2120 State Ave NE
Olympia, WA 98506
Phone (360) 207-0660

1910 4th Ave E
Olympia, WA 98506
Phone (817) 773-0588

2120 State Ave NE
Ste 120
Olympia, WA 98506

204 Custer Way SW
Tumwater, WA 98501
Phone (253) 523-1800

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": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1073216784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 EAST 4TH AVE",
            "address_2": "PMB 35",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064764",
            "telephone_number": "360-207-0660",
            "fax_number": "360-515-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 STATE AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985066514",
            "telephone_number": "360-207-0660",
            "fax_number": "360-515-4753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "924 Capitol Way S Ste 209",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985011210",
            "country_code": "US",
            "telephone_number": "360-207-0660",
            "fax_number": "360-515-4753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINCIPE",
        "first_name": "TONI",
        "middle_name": "JO",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61243921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.