Active NPI
Kristina Lynn Dukart, LCSW
- Clinical Social Worker
- Vancouver, WA
National Provider Identifier
1225528946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61463819
- Practice address
- 6715 NE 63Rd St
Ste 103 PMB 162
Vancouver, WA 98661 - Phone
- (360) 524-3628
- NPI assigned
- May 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW61463819 | WA | Primary |
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-30555 | MT | |
| Social Worker | 104100000X | L17219 | OR |
Addresses
Primary practice location
6715 NE 63Rd St
Ste 103 PMB 162
Vancouver, WA 98661
Mailing address
6715 NE 63Rd St
Ste 103 PMB 162
Vancouver, WA 98661
Phone (360) 524-3628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
402 S 4TH Ave
Yakima, WA 98902-3546
Phone (509) 575-4084
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L17219 | OR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Healthcare | Current | Accepting new patients | |
| Comprehensive Healthcare | Current | Accepting new patients |
Locations
402 S 4th Ave
Yakima, WA 98902
Phone (509) 575-3874
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Yakima, WA
- NPI 1073527453
-
- Methadone Clinic
- Yakima, WA
- NPI 1588871693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1225528946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6715 NE 63RD ST",
"address_2": "STE 103 PMB 162",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98661",
"telephone_number": "360-524-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6715 NE 63RD ST",
"address_2": "STE 103 PMB 162",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98661",
"telephone_number": "360-524-3628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKART",
"first_name": "KRISTINA",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-17",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61463819",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-30555",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "L17219",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.