Individual provider Active NPI

Barbara Anne Woodworth, MSW, LICSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1518603000
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60124093 Issued in WA
Practice address
4254 Woodland Park Ave N
Seattle, WA 98103-7425
Phone
(206) 849-3286
NPI assigned
May 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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 LW60124093 WA Primary

Addresses

Primary practice location

4254 Woodland Park Ave N
Seattle, WA 98103-7425

Mailing address

4254 Woodland Park Ave N
Seattle, WA 98103-7425
Phone (206) 849-3286

Other identifiers 1

IdentifierTypeStateIssuer
LW60124093OtherWALICENSED INDEPENDENT CLINICAL SOCIAL WORKER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 24, 2024 through Apr 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW60124093WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1518603000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 WOODLAND PARK AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037425",
            "telephone_number": "206-849-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4254 WOODLAND PARK AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037425",
            "telephone_number": "206-849-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWORTH",
        "first_name": "BARBARA",
        "middle_name": "ANNE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60124093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED INDEPENDENT CLINICAL SOCIAL WORKER",
            "identifier": "LW60124093",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.