Active NPI
Genajuade S Stevenson, MSW, LICSW, SUDP
- Clinical Social Worker
- Renton, WA
National Provider Identifier
1245506385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60842505
- Practice address
- 275 Bronson Way NE
Renton, WA 98056-4030 - Phone
- (425) 235-2800
- Fax
- (877) 516-9184
- NPI assigned
- Mar 22, 2012
- Reactivated
- Sep 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60279388 | WA | |
| Clinical Social Worker | 1041C0700X | LW60842505 | WA | Primary |
Addresses
Primary practice location
275 Bronson Way NE
Renton, WA 98056-4030
Mailing address
522 W Riverside Ave Ste N
Spokane, WA 99201-0580
Phone (206) 939-1440
Other practice location 1
522 W Riverside Ave Ste N
Spokane, WA 99201-0580
Phone (206) 939-1440
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1245506385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 W RIVERSIDE AVE STE N",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010580",
"telephone_number": "206-939-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 BRONSON WAY NE",
"city": "RENTON",
"state": "WA",
"postal_code": "980564030",
"telephone_number": "425-235-2800",
"fax_number": "877-516-9184"
}
],
"practiceLocations": [
{
"address_1": "522 W Riverside Ave Ste N",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992010580",
"country_code": "US",
"telephone_number": "206-939-1440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENSON",
"first_name": "GENAJUADE",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "MSW, LICSW, SUDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-22",
"last_updated": "2026-09-10",
"certification_date": "2023-02-01",
"deactivation_date": "2023-02-01",
"reactivation_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60279388",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60842505",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "275 Bronson Way NE",
"city": "Renton",
"state": "WA",
"country_code": "US",
"postal_code": "980564030",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.