Katie Michelle Price, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60767308 Issued in WA

Practice address

1011 S L St
Tacoma, WA 98405-4036

Phone

(253) 237-2885

NPI assigned

Sep 17, 2014

Last updated

Aug 19, 2021By 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 2

Addresses

Other names 1

• Katie Michelle Price Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Education Service District 189

  • Local Education Agency (LEA)
  • Anacortes, WA
  • NPI 1295964658
  NPD (past)

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1386046738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S L ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054036",
            "telephone_number": "253-237-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S L ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054036",
            "telephone_number": "253-237-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "KATIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60767308",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60767308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "PRICE",
            "middle_name": "MICHELLE",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meikel Adrian Prevost
• Michelle Denise Prevost
• Kara Lindsay Prew, RDH
• Craig Arthur Prewitt, MPT
• Holly Ann Price, LMP
• Kelly Price
• Lisa Price, RDH
• Debbie L. Prichard, CRNA
• Becky Jean Prideaux Blodgett, ARNP
• Prideaux-Blodgett LLC (Pacific Northwest Primary Care)

• Clinical Social Worker in Tacoma, WA
• Providers in Tacoma, 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 Aug 19, 2021; 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.