Individual provider Active NPI

Sara Elizabeth Magdaleno, LICSW

  • Clinical Social Worker
  • Bothell, WA
National Provider Identifier
1437795622
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60996795 Issued in WA
Practice address
19201 120TH Ave NE
Bothell, WA 98011-9517
Phone
(425) 485-6541
Fax
(425) 485-4154
NPI assigned
Nov 21, 2019
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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 LW60996795 WA Primary

Addresses

Primary practice location

19201 120TH Ave NE
Bothell, WA 98011-9517

Mailing address

20226 5TH Ave W
Lynnwood, WA 98036-6181

Other practice location 1

7614 195th St SW Ste 101
Edmonds, WA 98026-6260
Phone (452) 775-4059

Other practice location 2

3613 191st Pl SE
Bothell, WA 98012-7689
Phone (425) 408-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestone Psychological Services, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1437795622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20226 5TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19201 120TH AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980119517",
            "telephone_number": "425-485-6541",
            "fax_number": "425-485-4154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7614 195th St SW Ste 101",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980266260",
            "country_code": "US",
            "telephone_number": "452-775-4059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3613 191st Pl SE",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980127689",
            "country_code": "US",
            "telephone_number": "425-408-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGDALENO",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60996795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.