Individual provider Active NPI

Katherine Elizabeth Walter, LICSW

  • Clinical Social Worker
  • Woodinville, WA
National Provider Identifier
1144574716
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60136151 Issued in WA
Practice address
17330 135TH Ave NE Ste 2B
Woodinville, WA 98072-8522
Phone
(425) 998-9769
Fax
(844) 837-1339
NPI assigned
Nov 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 LW60136151 WA Primary

Addresses

Primary practice location

17330 135TH Ave NE Ste 2B
Woodinville, WA 98072-8522

Mailing address

17330 135TH Ave NE Ste 2B
Woodinville, WA 98072-8522
Phone (425) 998-9769

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
I20160830002035 WA Practitioner - Clinical Social Worker 6608161690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalyst Counseling PLLCGroup PAC ID 7416232996, 4 clinicians

Practice addresses (Care Compare)

17330 135TH Ave NE
Suite 2B
Woodinville, WA 98072-8522
Phone 42599897690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60136151WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Counseling PLLC Clinical CurrentSince Mar 1, 2017 Accepting new patients

Locations

10516 E Riverside Dr
Bothell, WA 98011
Phone (425) 736-7882

17330 135th Ave NE
Ste 2B
Woodinville, WA 98072
Phone (425) 998-9769

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": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1144574716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 135TH AVE NE STE 2B",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728522",
            "telephone_number": "425-998-9769",
            "fax_number": "844-837-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 135TH AVE NE STE 2B",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728522",
            "telephone_number": "425-998-9769",
            "fax_number": "844-837-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-05",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60136151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

Verify at the official NPI Registry.