Katharine E. McCormack, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004659 Issued in WA

Practice address

23830 Pacific Hwy S
Suite 102a
Kent, WA 98032-7701

Phone

(206) 856-7574

Fax

(206) 932-5221

NPI assigned

Dec 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Winds of Change Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kent, WA
  • NPI 1598322109
  NPD Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225193832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23830 PACIFIC HWY S",
            "address_2": "SUITE 102A",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980327701",
            "telephone_number": "206-856-7574",
            "fax_number": "206-932-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23830 PACIFIC HWY S",
            "address_2": "SUITE 102A",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980327701",
            "telephone_number": "206-856-7574",
            "fax_number": "206-932-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "KATHARINE",
        "middle_name": "E.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista McCallie
• Lisa J McCann, LMP
• Molly Marie McCarthy
• Kim P. McClain, LMHC
• Patrick Michael McClintock, LMT, CPT
• Emma McCormick, SLP
• Destiny Nicole McCoy, OD
• Sabrina Lafern McCoy, LMP
• Britni Ann McCray, LMT
• Alexander Michael McCreary

• Clinical Social Worker in Kent, WA
• Providers in Kent, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.