Active NPI
Badou Ngum
- Social Worker
- Everett, WA
National Provider Identifier
1124973458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SC70016421
- Practice address
- 12121 Admiralty Way Apt V305
Everett, WA 98204-7528 - Phone
- (425) 770-9364
- NPI assigned
- Mar 2, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SC70016421 | WA | Primary |
| Clinical Social Worker | 1041C0700X | 16421 | WA |
Addresses
Primary practice location
12121 Admiralty Way Apt V305
Everett, WA 98204-7528
Mailing address
12121 Admiralty Way Apt V305
Everett, WA 98204-7528
Phone (425) 770-9364
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
| License | State | Type | Specialty |
|---|---|---|---|
| SC70016421 | WA | MD | Social Worker |
| 16421 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1124973458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12121 ADMIRALTY WAY APT V305",
"city": "EVERETT",
"state": "WA",
"postal_code": "982047528",
"telephone_number": "425-770-9364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 ADMIRALTY WAY APT V305",
"city": "EVERETT",
"state": "WA",
"postal_code": "982047528",
"telephone_number": "425-770-9364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUM",
"first_name": "BADOU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-02",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SC70016421",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "16421",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.