Kristina L. Schellie, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004669 Issued in WA

Practice address

12737 Bel Red Rd Ste 200
Bellevue, WA 98005-2608

Phone

(425) 462-5549

NPI assigned

Jan 18, 2007

Last updated

May 30, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1366595936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12737 BEL RED RD STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052608",
            "telephone_number": "425-462-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12737 BEL RED RD STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052608",
            "telephone_number": "425-462-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELLIE",
        "first_name": "KRISTINA",
        "middle_name": "L.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LW00004669",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Schatman, PH.D.
• Sigrun Schaudies
• Jadyn Schauer, PTA
• Andrea Lea Scheffer, LMT
• Catherine A Schell, NP
• S. Lennart Schenck, MD
• Amy Scherer, PT
• Bailee Charise Scheuffele
• Cameron Woodward Schick, M.D.
• Samuel Schikowitz, ND LAC

• Clinical Social Worker in Bellevue, WA
• Providers in Bellevue, 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 May 30, 2008; 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.