Individual provider Active NPI

Kiel Robert Engelson, LICSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1225341597
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60161105 Issued in WA
Practice address
316 W Boone Ave Ste 360
Spokane, WA 99201-2346
Phone
(509) 346-6166
NPI assigned
Jul 15, 2010
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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 LW60161105 WA Primary

Addresses

Primary practice location

316 W Boone Ave Ste 360
Spokane, WA 99201-2346

Mailing address

316 W Boone Ave Ste 360
Spokane, WA 99201-2346
Phone (509) 346-6166

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260429003082 WA Practitioner - Clinical Social Worker 4486121282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

316 W Boone Ave
Suite 360
Spokane, WA 99201-2346

4104 W Queen Ave
Spokane, WA 99205-6160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60161105WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tharseo Counseling Services CurrentSince May 18, 2025 Accepting new patients
Paul J Domitor and Associates Past Accepting new patients

Locations

316 W Boone Ave
Ste 360
Spokane, WA 99201
Phone (509) 346-6166

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1225341597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE STE 360",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012346",
            "telephone_number": "509-346-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE STE 360",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012346",
            "telephone_number": "509-346-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELSON",
        "first_name": "KIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60161105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.