Individual provider Active NPI

Lia Rose Tamminen, MSW, LICSW

  • Clinical Social Worker
  • Bellevue, WA
National Provider Identifier
1366042616
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61459532 Issued in WA
Practice address
3801 150TH Ave SE
Bellevue, WA 98006-1668
Phone
(425) 460-7114
Fax
(425) 460-7115
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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 LW61459532 WA Primary

Addresses

Primary practice location

3801 150TH Ave SE
Bellevue, WA 98006-1668

Mailing address

PO Box 34703
Seattle, WA 98124-1703
Phone (253) 681-6626

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
LW61459532WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Approaching Wholeness PLLC Clinical Current Accepting new patients

Locations

108 S Jackson St
Ste 301
Seattle, WA 98104
Phone (206) 600-0647

Organizations & group practices 1

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1366042616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "253-681-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 150TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061668",
            "telephone_number": "425-460-7114",
            "fax_number": "425-460-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMMINEN",
        "first_name": "LIA",
        "middle_name": "ROSE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61459532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.