Individual provider Active NPI

Andrew Anthony Zarate, RD, CD, LCSW, LICSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1184082489
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61259318 Issued in WA
Practice address
1666 E Olive Way
Seattle, WA 98102-5627
Phone
(917) 409-8541
NPI assigned
Feb 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC60890351 WA
Clinical Social Worker 1041C0700X 098406 NY
Registered Dietitian 133V00000X DI60890355 WA
Registered Dietitian 133V00000X 86010670 WA
Clinical Social Worker 1041C0700X LW61259318 WA Primary

Addresses

Primary practice location

1666 E Olive Way
Seattle, WA 98102-5627

Mailing address

1666 E Olive Way
Seattle, WA 98102-5627
Phone (917) 409-8541

Other identifiers 2

IdentifierTypeStateIssuer
LW61259318OtherWAWA DOH: LICENSED INDEPENDENT CLINICAL SOCIAL WORKER (LICSW)
098406OtherNYNEW YORK STATE DOE: LICENSED CLINICAL SOCIAL WORKER (LCSW)

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
098406NYMDClinical Social Worker
LW61259318WAMDClinical Social Worker
SC60890351WAMDClinical Social Worker
86010670WAMDRegistered Dietitian
DI60890355WAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1184082489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 E OLIVE WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025627",
            "telephone_number": "917-409-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 E OLIVE WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025627",
            "telephone_number": "917-409-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARATE",
        "first_name": "ANDREW",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "RD, CD, LCSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-02",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60890351",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098406",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60890355",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "86010670",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61259318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DOH: LICENSED INDEPENDENT CLINICAL SOCIAL WORKER (LICSW)",
            "identifier": "LW61259318",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE DOE: LICENSED CLINICAL SOCIAL WORKER (LCSW)",
            "identifier": "098406",
            "state": "NY"
        }
    ],
    "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 Oct 17, 2024; 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.