Organization Active NPI

Blue Healer Mindbody Therapy

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1376407379
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLUE HEALER MINDBODY THERAPY
Practice address
4719 15TH Ave NE Apt 102
Seattle, WA 98105-4462
Phone
(206) 472-7992
NPI assigned
Dec 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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

Authorized official

Name
Ms. Chandra Dawn Wajdik, MSW, MPH, LSWAICNPI 1063218717
Title
Clinical Social Worker - Associate
Phone
(206) 335-8560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4719 15TH Ave NE Apt 102
Seattle, WA 98105-4462

Mailing address

4719 15TH Ave NE Apt 102
Seattle, WA 98105-4462
Phone (206) 335-8560

Other names 1

  • Blue Healer Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765584000000",
    "number": "1376407379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 15TH AVE NE APT 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054462",
            "telephone_number": "206-335-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 15TH AVE NE APT 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054462",
            "telephone_number": "206-472-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HEALER MINDBODY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-13",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A",
        "authorized_official_last_name": "WAJDIK",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER - ASSOCIATE",
        "authorized_official_telephone_number": "206-335-8560",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, MPH, LSWAIC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Healer Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 13, 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.