Individual provider Active NPI

Alison Hadley, L.I.C.S.W./D.C.S.W.

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1336226562
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60003644 Issued in WA
Practice address
611 12TH Ave S
Seattle, WA 98144-2007
Phone
(206) 324-9360
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60003644 WA Primary
Social Worker 104100000X

Addresses

Primary practice location

611 12TH Ave S
Seattle, WA 98144-2007

Mailing address

772 Point Brown Ave SE
Ocean Shores, WA 98569-9635
Phone (509) 481-5590

Other practice location 1

772 Point Brown Ave SE
Ocean Shores, WA 98569-9635
Phone (509) 481-5590

Other identifiers 3

IdentifierTypeStateIssuer
134874OtherMANAGED HEALTH NTWK
881491779OtherNATIONAL ASSOC. OF SW
891-6333OtherWACRIME VICTIM'S COMPENS.

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
I20040525001748 WA Practitioner - Clinical Social Worker 4587645619 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Indian Health Board CurrentSince Jul 7, 2020 Accepting new patients
Seattle Indian Health Board CurrentSince Jul 7, 2020 Accepting new patients
Western Psychological and Counseling Services LLC Mental Health Past Accepting new patients

Locations

611 12th Ave S
Seattle, WA 98144
Phone (206) 324-9360

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1336226562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 POINT BROWN AVE SE",
            "city": "OCEAN SHORES",
            "state": "WA",
            "postal_code": "985699635",
            "telephone_number": "509-481-5590",
            "fax_number": "360-233-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 12TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442007",
            "telephone_number": "206-324-9360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "772 Point Brown Ave SE",
            "address_purpose": "LOCATION",
            "city": "Ocean Shores",
            "state": "WA",
            "postal_code": "985699635",
            "country_code": "US",
            "telephone_number": "509-481-5590",
            "fax_number": "360-233-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "ALISON",
        "credential": "L.I.C.S.W./D.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-02-19",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60003644",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NTWK",
            "identifier": "134874",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ASSOC. OF SW",
            "identifier": "881491779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIM'S COMPENS.",
            "identifier": "891-6333",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.