Organization Active NPI

Nudelman Therapy & Consulting, PLLC

  • Clinical Social Worker
  • Kent, WA
National Provider Identifier
1467154955
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NUDELMAN THERAPY & CONSULTING, PLLC
Practice address
21602 94TH PL S
Kent, WA 98031-1902
Phone
(512) 827-8685
NPI assigned
Mar 20, 2023
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Alexa NudelmanNPI 1750988648
Title
Sole Owner
Phone
(512) 827-8685

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 Worker 1041C0700X Primary

Addresses

Primary practice location

21602 94TH PL S
Kent, WA 98031-1902

Mailing address

177 107TH Ave NE Apt 1706
Bellevue, WA 98004-5939
Phone (512) 827-8685

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1467154955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 107TH AVE NE APT 1706",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045939",
            "telephone_number": "512-827-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21602 94TH PL S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980311902",
            "telephone_number": "512-827-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUDELMAN THERAPY & CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "NUDELMAN",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "512-827-8685"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.