Carlos Del Rio

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC61440337 Issued in WA

Practice address

316 Main St Ste A1
Edmonds, WA 98020-3197

Phone

(503) 753-0102

NPI assigned

Feb 15, 2022

Last updated

Apr 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1306591789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 ROSEDALE ST UNIT 29",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351877",
            "telephone_number": "503-753-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MAIN ST STE A1",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203197",
            "telephone_number": "503-753-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL RIO",
        "first_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2309125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61440337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leann De Luna
• Leizle De Vera
• Cara K Debley, MD
• Stefanie Ann Decaria, DPT
• Alexa Dedmon
• George R Delaney, MD
• Emebet Demisse, RN
• Kelly Lynn Dempsey, ARNP
• John A. Deninno, PH.D.
• Dental Professionals of Washington Quirt Mongrain Gibree PC (Dental Care of Edmonds)

• Clinical Social Worker in Edmonds, WA
• Providers in Edmonds, 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 7, 2025; 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.