Active NPI
Amy Marie Van Galder, SC
- Social Worker
- Renton, WA
National Provider Identifier
1174650808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LW60462983
- Practice address
- 17722 Talbot Rd S
Renton, WA 98055-5744 - Phone
- (425) 690-3479
- Fax
- (425) 690-9479
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LW60462983 | WA | Primary |
Addresses
Primary practice location
17722 Talbot Rd S
Renton, WA 98055-5744
Mailing address
3600 Lind Ave SW
Suite 100 Attn Credentialing
Renton, WA 98057-4970
Phone (425) 690-2715
Other practice location 1
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-1126
Other practice location 2
4033 Talbot Rd S Ste 440
Renton, WA 98055-5767
Phone (425) 656-5321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2066839 | Medicaid | WA |
Other names 1
- Amy Marie McGee
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1174650808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LIND AVE SW",
"address_2": "SUITE 100 ATTN CREDENTIALING",
"city": "RENTON",
"state": "WA",
"postal_code": "980574970",
"telephone_number": "425-690-2715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17722 TALBOT RD S",
"city": "RENTON",
"state": "WA",
"postal_code": "980555744",
"telephone_number": "425-690-3479",
"fax_number": "425-690-9479"
}
],
"practiceLocations": [
{
"address_1": "315 Martin Luther King Jr Way",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984054234",
"country_code": "US",
"telephone_number": "253-403-1126",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4033 Talbot Rd S Ste 440",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980555767",
"country_code": "US",
"telephone_number": "425-656-5321",
"fax_number": "425-656-5319",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN GALDER",
"first_name": "AMY",
"middle_name": "MARIE",
"credential": "SC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW60462983",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2066839",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "MCGEE",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.