Individual provider Active NPI

Saimon Kesete Habte Sr.

  • Social Worker
  • Seattle, WA
National Provider Identifier
1356227706
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
WDL579SG713B Issued in WA
Practice address
12601 68TH Ave S Apt 22D
Seattle, WA 98178-4164
Phone
(206) 372-3605
NPI assigned
Aug 12, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X WDL579SG713B WA Primary

Addresses

Primary practice location

12601 68TH Ave S Apt 22D
Seattle, WA 98178-4164

Mailing address

12601 68TH Ave S
Seattle, WA 98178-4195
Phone (206) 372-3605

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
WDL579SG713BWAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1356227706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 68TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981784195",
            "telephone_number": "206-372-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 68TH AVE S APT 22D",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981784164",
            "telephone_number": "206-372-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABTE",
        "first_name": "SAIMON",
        "middle_name": "KESETE",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "WDL579SG713B",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 12, 2025; 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.