Individual provider Active NPI

Elizabeth Dios

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1215540612
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC60980269 Issued in WA
Practice address
1820 12TH Ave
Seattle, WA 98122-2438
Phone
(206) 414-9365
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC60980269 WA Primary

Addresses

Primary practice location

1820 12TH Ave
Seattle, WA 98122-2438

Mailing address

7977 170TH Ave NE Apt B515
Redmond, WA 98052-4080
Phone (916) 340-5145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 17, 2024 through Jan 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC60980269WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Have Heart Healing, PLLC CurrentSince Feb 14, 2021 Accepting new patients

Locations

1820 12th Ave
Seattle, WA 98122
Phone (206) 324-6308

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1215540612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7977 170TH AVE NE APT B515",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524080",
            "telephone_number": "916-340-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 12TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222438",
            "telephone_number": "206-414-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIOS",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60980269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.