Organization Active NPI

Hallie Condit, Licsw

  • Clinical Social Worker
  • Kirkland, WA
National Provider Identifier
1407803786
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00005349 Issued in WA
Legal business name
HALLIE CONDIT, LICSW
Practice address
11415 NE 128TH St
Suite 100
Kirkland, WA 98034-6314
Phone
(425) 462-2799
Fax
(206) 367-1001
NPI assigned
May 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Ms. Hallie Condit, LICSWNPI 1497081897
Title
Clinical Social Worker
Phone
(425) 462-2799

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 LW00005349 WA Primary

Addresses

Primary practice location

11415 NE 128TH St
Suite 100
Kirkland, WA 98034-6314

Mailing address

18233 29TH PL NE
Lake Forest Park, WA 98155-4156
Phone (425) 462-2799

National Provider Directory

National Provider Directory

Locations

11415 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 298-6223

Practitioners & affiliated clinicians

Practitioners 2

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": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1407803786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18233 29TH PL NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981554156",
            "telephone_number": "425-462-2799",
            "fax_number": "206-367-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11415 NE 128TH ST",
            "address_2": "SUITE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346314",
            "telephone_number": "425-462-2799",
            "fax_number": "206-367-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLIE CONDIT, LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "CONDIT",
        "authorized_official_first_name": "HALLIE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "425-462-2799",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.