Stefan Zillioux, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00008163 Issued in WA

Practice address

1911 22ND Ave S
Seattle, WA 98144-4519

Phone

(206) 464-1570

NPI assigned

Oct 29, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Navos

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1194728105
  Medicare reassignment NPD
• Navos

  • Psychiatric Hospital
  • Seattle, WA
  • NPI 1124034699
  NPD

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1346717253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 3RD AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042304",
            "telephone_number": "206-464-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 22ND AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444519",
            "telephone_number": "206-464-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILLIOUX",
        "first_name": "STEFAN",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-29",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "LW00008163",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Zigman, DPT
• Rima S. Zikas, MPT
• Liza Ziliak, LMHC
• Martina Zilic, ARNP, AGACNP-BC
• Lauren Rae Zilke, PT, DPT
• Megan Lynne Zimbelman
• Lisa Hope Zimberg, D.M.D
• Amir Zimbwe
• Laura Zimcosky, RN
• Adam Zimmer

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, 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 Aug 4, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.