Individual provider Active NPI

Zachary Barnett-Kern, LICSWA

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1104507367
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61451332 Issued in WA
Practice address
9030 35TH Ave SW Ste 100
Seattle, WA 98126-3821
Phone
(206) 586-8822
Fax
(626) 770-5563
NPI assigned
Jul 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 SC61451332 WA Primary

Addresses

Primary practice location

9030 35TH Ave SW Ste 100
Seattle, WA 98126-3821

Mailing address

4745 40TH Ave SW Apt 710
Seattle, WA 98116-4631
Phone (206) 586-8822

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

LicenseStateTypeSpecialty
SC61451332WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1104507367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 40TH AVE SW APT 710",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164631",
            "telephone_number": "206-586-8822",
            "fax_number": "626-770-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 35TH AVE SW STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263821",
            "telephone_number": "206-586-8822",
            "fax_number": "626-770-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT-KERN",
        "first_name": "ZACHARY",
        "credential": "LICSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-28",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61451332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.