Individual provider Active NPI

Quanah Yellow Cloud, LMSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1174313274
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWIA.SC.70006784 Issued in WA
Practice address
123 NW 36TH St Ste 210
Seattle, WA 98107-4959
Phone
(206) 402-5767
NPI assigned
May 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11044 CT
Clinical Social Worker 1041C0700X SWIA.SC.70006784 WA Primary

Addresses

Primary practice location

123 NW 36TH St Ste 210
Seattle, WA 98107-4959

Mailing address

65 Irvington St
New Haven, CT 06513-4619
Phone (203) 214-8194

Other practice location 1

731 Main St Ste 122
Monroe, CT 06468-2872
Phone (203) 261-7090

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
11044CTMDSocial Worker
SWIA.SC.70006784WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Clinical CurrentSince Jun 8, 2025 Accepting new patients
Indigenous Counseling Services PLLC Clinical Current Accepting new patients
Key Therapy LLC PastSince Jun 1, 2025 Accepting new patients

Locations

123 NW 36th St
Ste 210
Seattle, WA 98107
Phone (206) 329-2050

Organizations & group practices 3

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": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1174313274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 IRVINGTON ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065134619",
            "telephone_number": "203-214-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 NW 36TH ST STE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074959",
            "telephone_number": "206-402-5767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "731 Main St Ste 122",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "CT",
            "postal_code": "064682872",
            "country_code": "US",
            "telephone_number": "203-261-7090",
            "fax_number": "888-856-3413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YELLOW CLOUD",
        "first_name": "QUANAH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "11044",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWIA.SC.70006784",
            "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 Jun 5, 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.