Active NPI
Zachary Noah Tanaid, MSW
- Social Worker
- Lynnwood, WA
National Provider Identifier
1184469645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SC61443769
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC61443769 | Other | WA | SOCIAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| SC61443769 | WA | MD | Social 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.