Cori Lynn Raddigan, LCSWA, LCAS-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

26025 SE 192ND St
Maple Valley, WA 98038-7900

Phone

(425) 437-5595

NPI assigned

Jan 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1487162111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26025 SE 192ND ST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980387900",
            "telephone_number": "425-437-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26025 SE 192ND ST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980387900",
            "telephone_number": "425-437-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADDIGAN",
        "first_name": "CORI",
        "middle_name": "LYNN",
        "credential": "LCSWA, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23796",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012050",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah M Ramstad, M.A.
• Tessa M. Ravotti, DPT
• Kristel Recks, PHARMD

• Clinical Social Worker in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.