Wendy R McGill, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW 60594194 Issued in WA

Practice address

1660 S Columbian Way
Seattle, WA 98108-1532

Phone

(206) 762-1010

NPI assigned

Oct 2, 2012

Last updated

May 16, 2019By the provider in NPPES

Sex

Female

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 2

Other names 1

• Wendy R Ptak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1366793275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 S. COLUMBIAN WAY",
            "address_2": "S-122-SWS",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S COLUMBIAN WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081532",
            "telephone_number": "206-762-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "WENDY",
        "middle_name": "R",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60594194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER INDEPENDENT CLINICAL LICENSE",
            "identifier": "LW 60594194",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER ASSOCIATE INDEPENDENT CLINICAL LICENSE",
            "identifier": "SC60284079",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "PTAK",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica McGifford
• Kate McGill, MA, LMHC
• Kevin McGill, LICSW
• Linda Shawn McGill, LMP
• Michael McGill, LMHCA
• Megan Forney McGilvray, ARNP
• Jean K McGinnis, ARNP
• Regina N McGinnis, MA, LMHC
• Samuel McGinnis, PSYD
• Lucy McGirr

• 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 May 16, 2019; 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.