Individual provider Active NPI

Wanda W Bresnick, M.S.W.

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1487764460
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
020704 LW00006761 Issued in WA
Practice address
753 N 35TH St Ste 108
Seattle, WA 98103-8870
Phone
(206) 548-0409
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 020704 LW00006761 WA Primary

Addresses

Primary practice location

753 N 35TH St Ste 108
Seattle, WA 98103-8870

Mailing address

753 N 35TH St Ste 108
Seattle, WA 98103-8870
Phone (206) 548-0409

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
020704 LW00006761WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487764460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 N 35TH ST STE 108",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038870",
            "telephone_number": "206-548-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 N 35TH ST STE 108",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038870",
            "telephone_number": "206-548-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESNICK",
        "first_name": "WANDA",
        "middle_name": "W",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "020704 LW00006761",
            "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 Jul 8, 2007; 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.