Individual provider Active NPI

Emberlene Cossette, LISCW

  • Clinical Social Worker
  • Olympia, WA
National Provider Identifier
1558946210
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61031684 Issued in WA
Practice address
2323 9TH Ave SW Apt 5-204
Olympia, WA 98502-5179
Phone
(253) 230-9362
NPI assigned
Mar 15, 2021
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SC60723918 WA
Clinical Social Worker 1041C0700X LW61031684 WA Primary

Addresses

Primary practice location

2323 9TH Ave SW Apt 5-204
Olympia, WA 98502-5179

Mailing address

2323 9TH Ave SW Apt 5-204
Olympia, WA 98502-5179
Phone (253) 230-9362

Other practice location 1

322 S Birch St
McCleary, WA 98557-9522
Phone (360) 208-9625

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
I20251020001175 WA Practitioner - Clinical Social Worker 0446748768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thriveworks Clinical - Washington, PCGroup PAC ID 1052787488, 17 clinicians

Practice addresses (Care Compare)

114 W Magnolia St
Suite 303
Bellingham, WA 98225-4354
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC60723918WAMDMental Health Counselor
LW61031684WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - Washington, PC Mental Health CurrentSince Sep 15, 2025 Accepting new patients

Locations

114 W Magnolia St
Ste 303
Bellingham, WA 98225

10303 Meridian Ave N
Ste 200
Seattle, WA 98133
Phone (206) 588-5202

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1558946210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 9TH AVE SW APT 5-204",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025179",
            "telephone_number": "253-230-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 9TH AVE SW APT 5-204",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025179",
            "telephone_number": "253-230-9362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 S Birch St",
            "address_purpose": "LOCATION",
            "city": "McCleary",
            "state": "WA",
            "postal_code": "985579522",
            "country_code": "US",
            "telephone_number": "360-208-9625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSSETTE",
        "first_name": "EMBERLENE",
        "credential": "LISCW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SC60723918",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61031684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.