Nucha Isarowong, LCSW, LICSW, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61350720 Issued in WA

Practice address

9602 Fremont Ave N
Seattle, WA 98103-3139

Phone

(773) 620-1628

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711152000000",
    "number": "1295838555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9602 FREMONT AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033139",
            "telephone_number": "773-620-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9602 FREMONT AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033139",
            "telephone_number": "773-620-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAROWONG",
        "first_name": "NUCHA",
        "name_prefix": "Dr.",
        "credential": "LCSW, LICSW, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011991",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "1935083",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61350720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamdia Isahaq
• Marc Isaia
• Heidi Isakson
• Maria Cristina Isales, MD
• Barry J Isara, CPT
• Jessica M Isawa, PHARMD
• Laura Marie Isbell, DO
• Amber Isenberg, L.M.T.
• Scott Normile Isenhath, M.D.
• Emily Akemi Ishado

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; 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.