NPIMap

Individual provider Active NPI

Nicole Podell, LCSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1447648829
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7972 Issued in WA
Practice address
2702 17TH Ave S # a
Seattle, WA 98144-5112
Phone
(541) 632-3238
Fax
(313) 831-2608
NPI assigned
Jan 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L7972 OR
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X L7972 WA Primary

Addresses

Primary practice location

2702 17TH Ave S # a
Seattle, WA 98144-5112

Mailing address

2702 17TH Ave S # a
Seattle, WA 98144-5112
Phone (541) 632-3238

Other practice location 1

777 High St Ste 240
Eugene, OR 97401-2759
Phone (541) 357-3248

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

State licenses

LicenseStateTypeSpecialty
L7972ORMDClinical Social Worker
L7972WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alive Holistic Counseling Past Accepting new patients
Alive Counseling Clinic, LLC PastSince Feb 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1447648829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 17TH AVE S # A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981445112",
            "telephone_number": "541-632-3238",
            "fax_number": "313-831-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 17TH AVE S # A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981445112",
            "telephone_number": "541-632-3238",
            "fax_number": "313-831-2608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 High St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012759",
            "country_code": "US",
            "telephone_number": "541-357-3248",
            "fax_number": "541-357-3248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODELL",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7972",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "L7972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 21, 2023; 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.