Individual provider Active NPI

Katerina Lamola, MSW, LICSW, CHT

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1467718262
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60552140 Issued in WA
Practice address
2800 E Madison St Ste 300
Seattle, WA 98112-4865
Phone
(206) 779-9921
NPI assigned
Apr 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CG60134633 WA
Mental Health Counselor 101YM0800X HP60252233 WA
Clinical Social Worker 1041C0700X SC60263869 WA
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LW60552140 WA Primary

Addresses

Primary practice location

2800 E Madison St Ste 300
Seattle, WA 98112-4865

Mailing address

2800 E Madison St Ste 300
Seattle, WA 98112-4865
Phone (206) 779-9921

Other practice location 1

1901 Mlk Jr Way S
Seattle, WA 98144-4801
Phone (206) 322-7676 ext. 208

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
CG60134633WAMDMental Health Counselor
HP60252233WAMDMental Health Counselor
LW60552140WAMDClinical Social Worker
SC60263869WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1467718262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E MADISON ST STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124865",
            "telephone_number": "206-779-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E MADISON ST STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124865",
            "telephone_number": "206-779-9921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Mlk Jr Way S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981444801",
            "country_code": "US",
            "telephone_number": "206-322-7676 x208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMOLA",
        "first_name": "KATERINA",
        "credential": "MSW, LICSW, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60134633",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "HP60252233",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60263869",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60552140",
            "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 May 28, 2020; 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.