Individual provider Active NPI

Carrie Janene Dunston, LICSW

  • Clinical Social Worker
  • Bellevue, WA
National Provider Identifier
1073752655
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
701 122ND Ave NE Apt 108
Bellevue, WA 98005-3107
Phone
(425) 414-6718
NPI assigned
Feb 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3782 TN
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

701 122ND Ave NE Apt 108
Bellevue, WA 98005-3107

Mailing address

701 122ND Ave NE Apt 108
Bellevue, WA 98005-3107
Phone (425) 414-6718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190514002544 WA Practitioner - Clinical Social Worker 3577610302 Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3782TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Seahurst Chiropractic Clinic Inc. 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": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1073752655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 122ND AVE NE APT 108",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053107",
            "telephone_number": "425-414-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 122ND AVE NE APT 108",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053107",
            "telephone_number": "425-414-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNSTON",
        "first_name": "CARRIE",
        "middle_name": "JANENE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "3782",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.