Individual provider Active NPI

Kara Lynne Ireland

  • Clinical Social Worker
  • Renton, WA
National Provider Identifier
1396436713
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC60299327 Issued in WA
Practice address
15 S Grady Way Ste 500
Renton, WA 98057-3217
Phone
(425) 444-5902
Fax
(425) 228-2007
NPI assigned
May 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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 SC60299327 WA Primary

Addresses

Primary practice location

15 S Grady Way Ste 500
Renton, WA 98057-3217

Mailing address

15 S Grady Way Ste 500
Renton, WA 98057-3217
Phone (425) 444-5902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 12, 2026 through Mar 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC60299327WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renton Counseling Center, PLLC CurrentSince May 13, 2024 Accepting new patients

Locations

15 S Grady Way
Ste 500
Renton, WA 98057
Phone (425) 444-5902

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": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1396436713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S GRADY WAY STE 500",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573217",
            "telephone_number": "425-444-5902",
            "fax_number": "425-228-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S GRADY WAY STE 500",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573217",
            "telephone_number": "425-444-5902",
            "fax_number": "425-228-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRELAND",
        "first_name": "KARA",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60299327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.