Individual provider Active NPI

Robyn E Coughlin, MSW, LCSW

  • Clinical Social Worker
  • Bellevue, WA
National Provider Identifier
1255434148
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24137 Issued in CA
Practice address
1611 116TH Ave NE Ste 221
Bellevue, WA 98004-3063
Phone
(619) 997-5310
Fax
(229) 508-1539
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X LW60725469 WA
Clinical Social Worker 1041C0700X 24137 CA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1611 116TH Ave NE Ste 221
Bellevue, WA 98004-3063

Mailing address

8690 Aero Dr Ste 115-219
San Diego, CA 92123-1886
Phone (619) 997-5310

Other practice location 1

8690 Aero Dr Ste 115-219
San Diego, CA 92123-1886
Phone (619) 997-5310

Other names 1

  • Robyn Coughlin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110316000814 CA Practitioner - Clinical Social Worker 0244412989 Practice locations: San Diego, CA
I20221217000159 WA Practitioner - Clinical Social Worker 0244412989 Reassigns benefits to 1 organization
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24137CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Oct 4, 2022 Accepting new patients
Robyn Coughlin, LCSW, LLC Mental Health CurrentSince Nov 15, 2023 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Oct 4, 2022 Accepting new patients

Locations

13451 SE 36th St
Bellevue, WA 98006
Phone (425) 562-1316

1400 112th Ave SE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2526

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: rcoughlin4140263@ghc.direct-ci.net

Organizations & group practices 3

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1255434148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8690 AERO DR STE 115-219",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231886",
            "telephone_number": "619-997-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 116TH AVE NE STE 221",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043063",
            "telephone_number": "619-997-5310",
            "fax_number": "229-508-1539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8690 Aero Dr Ste 115-219",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231886",
            "country_code": "US",
            "telephone_number": "619-997-5310",
            "fax_number": "229-508-1539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "ROBYN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60725469",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24137",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "COUGHLIN",
            "credential": "ROBYN COUGHLIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.