Individual provider Active NPI

Kailey York

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1336711233
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CG61169404 Issued in WA
Practice address
1700 S Assembly Rd Ste 300
Spokane, WA 99224-2116
Phone
(509) 892-9241
Fax
(509) 892-9251
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CG61169404 WA Primary

Addresses

Primary practice location

1700 S Assembly Rd Ste 300
Spokane, WA 99224-2116

Mailing address

1700 S Assembly Rd Ste 300
Spokane, WA 99224-2116
Phone (509) 892-9241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CG61169404WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Passages Family Support a Nonprofit Corporation CurrentSince Jul 20, 2021 Accepting new patients
Passages Family Support a Nonprofit Corporation PastSince Jul 20, 2021 Accepting new patients

Locations

1700 S Assembly Rd
Ste 300
Spokane, WA 99224
Phone (509) 892-9241

Organizations & group practices 2

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": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1336711233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S ASSEMBLY RD STE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992242116",
            "telephone_number": "509-892-9241",
            "fax_number": "509-892-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S ASSEMBLY RD STE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992242116",
            "telephone_number": "509-892-9241",
            "fax_number": "509-892-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "KAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "CG61169404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.