Active NPI
Ian Murdock
- Social Worker
- Seattle, WA
National Provider Identifier
1487127551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SC61349442
- Practice address
- 1902 2ND Ave
Seattle, WA 98101-1155 - Phone
- (206) 507-3463
- NPI assigned
- Jan 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SC61349442 | WA | Primary |
Addresses
Primary practice location
1902 2ND Ave
Seattle, WA 98101-1155
Mailing address
515 3Rd Ave
Seattle, WA 98104-2304
Phone (206) 464-1570
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
| License | State | Type | Specialty |
|---|---|---|---|
| SC61349442 | WA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1487127551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 3RD AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042304",
"telephone_number": "206-464-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 2ND AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011155",
"telephone_number": "206-507-3463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURDOCK",
"first_name": "IAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-10",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SC61349442",
"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 Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.