Individual provider Active NPI

Wendi Lynn Nancarrow-Carter, LCSW

  • Clinical Social Worker
  • Woodinville, WA
National Provider Identifier
1497084503
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00008273 Issued in WA
Practice address
13901 NE 175TH St
Ste. C
Woodinville, WA 98072-8548
Phone
(206) 819-4741
NPI assigned
Dec 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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 LW00008273 WA Primary

Addresses

Primary practice location

13901 NE 175TH St
Ste. C
Woodinville, WA 98072-8548

Mailing address

13901 NE 175TH St
Ste. C
Woodinville, WA 98072-8548
Phone (206) 819-4741

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
I20150804005285 WA Practitioner - Clinical Social Worker 4183938152 Practice locations: Kirkland, WA; Woodinville, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11416 Slater Neave
Suite 100
Kirkland, WA 98033-4600
Phone (206) 819-4741

13901 NE 175TH St
Ste. C
Woodinville, WA 98072-8548

13901 Ne175Th St C
Woodinville, WA 98072-8548
Phone (206) 819-4741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW00008273WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1497084503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 NE 175TH ST",
            "address_2": "STE. C",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728548",
            "telephone_number": "206-819-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 NE 175TH ST",
            "address_2": "STE. C",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728548",
            "telephone_number": "206-819-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCARROW-CARTER",
        "first_name": "WENDI",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

Verify at the official NPI Registry.