Individual provider Active NPI

Laura Christine Meader

  • Clinical Social Worker
  • University Place, WA
National Provider Identifier
1265054738
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61220321 Issued in WA
Practice address
3800 Bridgeport Way W Ste A353
University Place, WA 98466-4495
Phone
(202) 288-0036
NPI assigned
May 7, 2020
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 LW61220321 WA Primary

Addresses

Primary practice location

3800 Bridgeport Way W Ste A353
University Place, WA 98466-4495

Mailing address

3525 71St Ave W
University Place, WA 98466-5143
Phone (202) 288-0036

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SimplePractice Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250303001259 WA Practitioner - Clinical Social Worker 6305367772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kathryn Zawislak Therapy and AssociatesGroup PAC ID 4789122367, 4 clinicians

Practice addresses (Care Compare)

417 E Pioneer
Suite B
Puyallup, WA 98372-3267
Phone (253) 285-8673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW61220321WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Zawislak Therapy & Associates CurrentSince Feb 4, 2025 Accepting new patients
Kzta PastSince Feb 4, 2025 Accepting new patients

Locations

417 E Pioneer
Ste B
Puyallup, WA 98372
Phone (253) 285-8673

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, 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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1265054738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 71ST AVE W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665143",
            "telephone_number": "202-288-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 BRIDGEPORT WAY W STE A353",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664495",
            "telephone_number": "202-288-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADER",
        "first_name": "LAURA",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61220321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3525 71st Ave W",
            "city": "University Place",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984665143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

Verify at the official NPI Registry.