Individual provider Active NPI

Lawrence Thomas Venditto, MSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1467590430
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2811 E. Madison
205
Seattle, WA 98112
Phone
(206) 568-2674
Fax
(206) 324-5565
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2070CP2414 WA
Clinical Social Worker 1041C0700X 20704LW4309 WA
Marriage & Family Therapist 106H00000X 20705LF930 WA
Clinical Social Worker 1041C0700X 20704-LW4309 WA
Marriage & Family Therapist 106H00000X 20705-LF930 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X 20706-CP2414 WA
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2811 E. Madison
205
Seattle, WA 98112

Mailing address

2811 E. Madison
205
Seattle, WA 98112
Phone (206) 568-2674

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
I20110215000371 WA Practitioner - Clinical Social Worker 8426238023 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2811 E Madison
Suite 205
Seattle, WA 98112-4869
Phone (206) 568-2674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20706-CP2414WAMDAddiction (Substance Use Disorder) Counselor
2070CP2414WAMDAddiction (Substance Use Disorder) Counselor
20704-LW4309WAMDClinical Social Worker
20704LW4309WAMDClinical Social Worker
20705-LF930WAMDMarriage & Family Therapist
20705LF930WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1467590430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 E. MADISON",
            "address_2": "205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98112",
            "telephone_number": "206-568-2674",
            "fax_number": "206-324-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 E. MADISON",
            "address_2": "205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98112",
            "telephone_number": "206-568-2674",
            "fax_number": "206-324-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENDITTO",
        "first_name": "LAWRENCE",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "2070CP2414",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "20704LW4309",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "20705LF930",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "20704-LW4309",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "20705-LF930",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "20706-CP2414",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.