Active NPI
Jonathan P Kilian, LICSW
- Clinical Social Worker
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60908637
- Practice address
- 1930 Post Aly
Seattle, WA 98101-1074 - Phone
- (206) 728-4143
- Fax
- (206) 956-1018
- NPI assigned
- Oct 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LW60908637 | WA | |
| Clinical Social Worker | 1041C0700X | LW60908637 | WA | Primary |
Addresses
Primary practice location
1930 Post Aly
Seattle, WA 98101-1074
Mailing address
PO Box 3835
Seattle, WA 98124-3835
Phone (206) 548-3114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W720382802 | Other | WA | REGENCE BLUE CROSS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1753 NW 56TH St
Suite 200
Seattle, WA 98107-5219
Phone (206) 782-5939
1930 Post Aly
Seattle, WA 98101-1074
Phone (206) 728-4143
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60908637 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborcare Health | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients |
Locations
1200 12th Ave S
Ste 901
Seattle, WA 98144
Phone (206) 548-3058
1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350
4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650
1930 Post Aly
Seattle, WA 98101
Phone (206) 728-4143
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
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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1578593562
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275187429
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275567539
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1871523811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1326523606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3835",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981243835",
"telephone_number": "206-548-3114",
"fax_number": "206-762-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 POST ALY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011074",
"telephone_number": "206-728-4143",
"fax_number": "206-956-1018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILIAN",
"first_name": "JONATHAN",
"middle_name": "P",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-02",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW60908637",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60908637",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE CROSS",
"identifier": "W720382802",
"state": "WA"
}
],
"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 Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.