Individual provider Active NPI

Eliza Schuyler Dietrichson, LICSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1265536742
Registry record updated May 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00007750 Issued in WA
Practice address
10501 8TH Ave NE Apt 202
Seattle, WA 98125-7234
Phone
(206) 474-8330
Fax
(206) 432-9545
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2026

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 LW00007750 WA Primary

Addresses

Primary practice location

10501 8TH Ave NE Apt 202
Seattle, WA 98125-7234

Mailing address

10002 Aurora Ave N Ste 36 PMB 591
Seattle, WA 98133-9348
Phone (206) 474-8330

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW00007750WAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778889600000",
    "number": "1265536742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10002 AURORA AVE N STE 36 PMB 591",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339348",
            "telephone_number": "206-474-8330",
            "fax_number": "206-432-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 8TH AVE NE APT 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257234",
            "telephone_number": "206-474-8330",
            "fax_number": "206-432-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICHSON",
        "first_name": "ELIZA",
        "middle_name": "SCHUYLER",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00007750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; 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.