Kelli K Hall, LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60677162 Issued in WA

Practice address

10604 NE 38TH PL
Suite 132, Quad 1 North
Kirkland, WA 98033-7933

Phone

(425) 202-5284

Fax

(206) 363-9639

NPI assigned

Jun 25, 2008

Sex

Female

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

Opted out of Medicare

Yes, effective Nov 30, 2023 through Nov 30, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1295997823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10604 NE 38TH PL",
            "address_2": "SUITE 132, QUAD 1 NORTH",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337933",
            "telephone_number": "425-202-5284",
            "fax_number": "206-363-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10604 NE 38TH PL",
            "address_2": "SUITE 132, QUAD 1 NORTH",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337933",
            "telephone_number": "425-202-5284",
            "fax_number": "206-363-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KELLI",
        "middle_name": "K",
        "credential": "LSWAIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW125780",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC60214942",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60677162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Halai
• Virginia Haley
• Dayna J Hall, ATC, IBCLC
• Jonathan Straffin Hall, M.D.
• Katherine June Hall, PA-C
• Richard Eugene Hall, M.D.
• Sarah C Hall, DPT
• Stanton Harris Hall, DDS MS PHD
• Tyson Hall, MA
• Laura Hallam

• Clinical Social Worker in Kirkland, WA
• Providers in Kirkland, 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 Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.