Active NPI
Michelle Heertje, AAC
- Social Worker
- Seattle, WA
National Provider Identifier
1194294215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 515 3Rd Ave
Seattle, WA 98104-2304 - Phone
- (206) 464-1570
- NPI assigned
- Nov 19, 2018
- 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 | Primary |
Addresses
Primary practice location
515 3Rd Ave
Seattle, WA 98104-2304
Mailing address
2545 57TH Ave SW
Seattle, WA 98116-2223
Phone (253) 263-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CAAR.CG.60708975 | Other | WA | COUNSELOR AGENCY AFFILIATED |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1194294215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2545 57TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981162223",
"telephone_number": "253-263-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 3RD AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042304",
"telephone_number": "206-464-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEERTJE",
"first_name": "MICHELLE",
"credential": "AAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-19",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNSELOR AGENCY AFFILIATED",
"identifier": "CAAR.CG.60708975",
"state": "WA"
}
],
"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 Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.