Individual provider Active NPI

Nora Riley Faram, MSW,MHP, LICSW

  • Clinical Social Worker
  • Bothell, WA
National Provider Identifier
1235566886
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60303270 Issued in WA
Practice address
Mariposa Counseling PLLC
19125 Northcreek Parkway, Ste 49
Bothell, WA 98011
Phone
(425) 364-9796
Fax
(425) 814-5009
NPI assigned
Sep 27, 2013
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 LW60303270 WA Primary

Addresses

Primary practice location

Mariposa Counseling PLLC
19125 Northcreek Parkway, Ste 49
Bothell, WA 98011

Mailing address

12910 Totem Lake Blvd NE
Suite 100
Kirkland, WA 98034-2951
Phone (425) 814-5080

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nfaram1044640@wm.providencedirect.org Direct

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)
Enrolled

Interoperability endpoints

  • Direct secure messaging: nfaram1044640@wm.providencedirect.org

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, 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": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1235566886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 TOTEM LAKE BLVD NE",
            "address_2": "SUITE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342951",
            "telephone_number": "425-814-5080",
            "fax_number": "425-814-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARIPOSA COUNSELING PLLC",
            "address_2": "19125 NORTHCREEK PARKWAY, STE 49",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98011",
            "telephone_number": "425-364-9796",
            "fax_number": "425-814-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAM",
        "first_name": "NORA",
        "middle_name": "RILEY",
        "name_prefix": "Mrs.",
        "credential": "MSW,MHP, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60303270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nfaram1044640@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12910 Totem Lake Blvd NE",
            "address_2": "Suite 100",
            "city": "Kirkland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980342951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.