Individual provider Active NPI

Lauren Collins, MSW

  • Clinical Social Worker
  • Lynnwood, WA
National Provider Identifier
1447833322
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61206586 Issued in WA
Practice address
19723 Highway 99 Ste G
Lynnwood, WA 98036-6080
Phone
(833) 411-5469
NPI assigned
Apr 29, 2021
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 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 LW61206586 WA Primary

Addresses

Primary practice location

19723 Highway 99 Ste G
Lynnwood, WA 98036-6080

Mailing address

19723 Highway 99 Ste G
Lynnwood, WA 98036-6080
Phone (833) 411-5469

Other practice location 1

1700 13th St
Everett, WA 98201-1689
Phone (425) 261-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210604000766 WA Practitioner - Clinical Social Worker 4385043728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1330 Rockefeller Ave
Suite 140
Everett, WA 98201-1682
Phone (425) 261-4210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington Clinical CurrentSince Jun 4, 2022 Accepting new patients
Witnessed Healing, PLLC Clinical Current Accepting new patients
Providence Health & Services - Washington CurrentSince Jun 4, 2022 Accepting new patients

Locations

1330 Rockefeller Ave
Ste 140
Everett, WA 98201
Phone (425) 261-4210

1700 13th St
Everett, WA 98201
Phone (425) 252-0895

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

Organizations & group practices 3

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1447833322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19723 HIGHWAY 99 STE G",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366080",
            "telephone_number": "833-411-5469",
            "fax_number": "833-411-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19723 HIGHWAY 99 STE G",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366080",
            "telephone_number": "833-411-5469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 13th St",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982011689",
            "country_code": "US",
            "telephone_number": "425-261-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LAUREN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61206586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.