Individual provider Active NPI

Elisabeth Ann Rehn, LICSW

  • Clinical Social Worker
  • Bellevue, WA
National Provider Identifier
1225367881
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC 60272687 Issued in WA
Practice address
400 108TH Ave NE
#402
Bellevue, WA 98004-5562
Phone
(425) 454-1199
Fax
(425) 454-8779
NPI assigned
Dec 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC 60272687 WA Primary
Social Worker 104100000X SC 60272687 WA

Addresses

Primary practice location

400 108TH Ave NE
#402
Bellevue, WA 98004-5562

Mailing address

500 108TH Ave NE
Unit 2815
Bellevue, WA 98004-5580
Phone (425) 454-1199

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

State licenses

LicenseStateTypeSpecialty
SC 60272687WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thira Health Past Accepting new patients

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": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1225367881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 108TH AVE NE",
            "address_2": "UNIT 2815",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045580",
            "telephone_number": "425-454-1199",
            "fax_number": "425-454-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 108TH AVE NE",
            "address_2": "#402",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045562",
            "telephone_number": "425-454-1199",
            "fax_number": "425-454-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHN",
        "first_name": "ELISABETH",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC 60272687",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC 60272687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.