Innersight Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INNERSIGHT COUNSELING PLLC

Practice address

3123 Eastlake Ave E Ste 102
Seattle, WA 98102-3801

Phone

(206) 794-9559

Fax

(206) 323-9563

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Christine Caldwell, LICSWNPI 1952678831

Title

Presisdent

Phone

(206) 794-9559

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Tupper Caldwell, LICSW, CDP

  • Clinical Social Worker
  • Seattle, WA
  • NPI 1952678831

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1194595249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 11TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256402",
            "telephone_number": "206-794-9559",
            "fax_number": "206-323-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 EASTLAKE AVE E STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023801",
            "telephone_number": "206-794-9559",
            "fax_number": "206-323-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERSIGHT COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESISDENT",
        "authorized_official_telephone_number": "206-794-9559",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James J Innocent, MA, LMHC
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• Gretchen C. Inocencio, RDH

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.