Carla Sue Chase, SOCIAL WORKER
Individual provider Active NPI Clinical Social Worker · Roy, WA
NPI 1124093364 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1124093364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LW00006013 (WA)
- Practice address
- 40717 5TH Avenue South
Roy, WA 98580-0000 - Phone
- (253) 968-4193
- Fax
- (253) 968-4249
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00006013 | WA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW00006013 | WA | Yes |
Addresses
Primary practice location
40717 5TH Avenue South
Roy, WA 98580-0000
Mailing address
40717 5TH Ave. S.
Roy, WA 98580-0000
Phone (253) 968-4193
Other providers in Roy, WA
- Dawn Wray Bouchard
- Brianna Brown
- Carrie Denice Brown
- Tyler Bryce
- Ross Ann Bundang
- Classic Chiropractic P.S.
- Cassandra Pearl Cobb
- Dana Michelle Jean Comeslast
- Kendra Dawn Cullimore
- Patricia Riley Dammier
All providers in Roy, WA · Clinical Social Worker in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.