Individual provider Active NPI

Zachary Noah Tanaid, MSW

  • Social Worker
  • Lynnwood, WA
National Provider Identifier
1184469645
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SC61443769 Issued in WA
Practice address
2122 164TH St SW Ste 204
Lynnwood, WA 98087-7812
Phone
(425) 521-6939
NPI assigned
Jun 27, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SC61443769 WA Primary

Addresses

Primary practice location

2122 164TH St SW Ste 204
Lynnwood, WA 98087-7812

Mailing address

2122 164TH St SW Ste 204
Lynnwood, WA 98087-7812

Other identifiers 1

IdentifierTypeStateIssuer
SC61443769OtherWASOCIAL WORKER ASSOCIATE INDEPENDENT CLINICAL LICENSE

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
SC61443769WAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1184469645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 164TH ST SW STE 204",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980877812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 164TH ST SW STE 204",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980877812",
            "telephone_number": "425-521-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAID",
        "first_name": "ZACHARY",
        "middle_name": "NOAH",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-27",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC61443769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER ASSOCIATE INDEPENDENT CLINICAL LICENSE",
            "identifier": "SC61443769",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.