NPIMap

Organization Active NPI

Social Skills Laboratory, PLLC

  • Speech-Language Pathologist
  • Bellevue, WA
National Provider Identifier
1144966946
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SOCIAL SKILLS LABORATORY, PLLC
Practice address
123 112TH Ave NE Apt 226
Bellevue, WA 98004-6489
Phone
(425) 229-9036
NPI assigned
May 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
John Asher Williamson, MS, CCC-SLPNPI 1710358080
Title
Owner
Phone
(425) 229-9036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

123 112TH Ave NE Apt 226
Bellevue, WA 98004-6489

Mailing address

123 112TH Ave NE Apt 226
Bellevue, WA 98004-6489
Phone (425) 229-9036

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1144966946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 112TH AVE NE APT 226",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046489",
            "telephone_number": "425-229-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 112TH AVE NE APT 226",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046489",
            "telephone_number": "425-229-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL SKILLS LABORATORY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ASHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-229-9036",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.