Individual provider Active NPI

Miwo Anne Lung Wong, LICSW, CDP

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1306973219
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LW60159712 Issued in WA
Practice address
8311 Beacon Ave S
Seattle, WA 98118-4323
Phone
(206) 548-3168
Fax
(206) 973-8778
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00006234 WA
Mental Health Counselor 101YM0800X LW00008879 WA
Social Worker 104100000X LW60159712 WA
Mental Health Counselor 101YM0800X LW60159712 WA Primary

Addresses

Primary practice location

8311 Beacon Ave S
Seattle, WA 98118-4323

Mailing address

1200 12TH Ave S Ste 901
Seattle, WA 98144-2712

Other names 1

  • Anne Lung Other name

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
I20230926003896 WA Practitioner - Clinical Social Worker 3375997273 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP00006234WAMDAddiction (Substance Use Disorder) Counselor
LW00008879WAMDMental Health Counselor
LW60159712WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Jul 15, 2023 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Neighborcare Health Current Accepting new patients
Neighborcare Health CurrentSince Jul 15, 2023 Accepting new patients

Locations

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

2601 SW Kenyon St
Seattle, WA 98126
Phone (206) 252-9007

1200 12th Ave S
Ste 901
Seattle, WA 98144
Phone (206) 548-3058

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

8311 Beacon Ave S
Seattle, WA 98118
Phone (206) 548-3168

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1306973219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S STE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 BEACON AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981184323",
            "telephone_number": "206-548-3168",
            "fax_number": "206-973-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNG WONG",
        "first_name": "MIWO",
        "middle_name": "ANNE",
        "credential": "LICSW, CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00006234",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW00008879",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60159712",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW60159712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "LUNG",
            "credential": "LICSW, CDP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.