Active NPI
Kylee Fick, MSW
- Clinical Social Worker
- Anacortes, WA
National Provider Identifier
1508289950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC60398994
- Practice address
- 2601 M Ave
Suite C
Anacortes, WA 98221-3894 - Phone
- (360) 293-6973
- NPI assigned
- Jan 21, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC60398994 | WA | Primary |
Addresses
Primary practice location
2601 M Ave
Suite C
Anacortes, WA 98221-3894
Mailing address
1510 34TH St
Anacortes, WA 98221-3353
Phone (360) 293-6973
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 |
|---|---|---|---|
| SC60398994 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1508289950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 34TH ST",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982213353",
"telephone_number": "360-293-6973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 M AVE",
"address_2": "SUITE C",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982213894",
"telephone_number": "360-293-6973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICK",
"first_name": "KYLEE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-21",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC60398994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anacortes, WA
- Family Care Network PLLC
- Family Care Network PLLC
- Family Care Network PLLC
- Melvin L Farnsworth, O.D.
- Helena Louise Fenters
- Fidalgo Functional Physical Therapy
- Fidalgo Island Chiropractic Clinic
- Fidalgo Island Pediatric Occupational Therapy Services PLLC
- Fidalgo Island Walk-in Clinic
- Fidalgo Medical Associates PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.