Active NPI
Edin Dail Denison, LCSW, LICSW
- Clinical Social Worker
- Everett, WA
National Provider Identifier
1578015145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61446513
- Practice address
- 3327 Colby Ave
Everett, WA 98201 - Phone
- (360) 564-0930
- NPI assigned
- Oct 31, 2016
- Sex
- Male
- 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 | LW61446513 | WA | Primary |
Addresses
Primary practice location
3327 Colby Ave
Everett, WA 98201
Mailing address
PO Box 257
Olympia, WA 98507-0257
Phone (360) 564-0903
Other practice location 1
4784 N Lombard St Ste B5026
Portland, OR 97203-4565
Phone (360) 564-0903
Other practice location 2
316 W Boone Ave Ste 850
Spokane, WA 99201-2353
Phone (360) 564-0903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2224675 | Medicaid | WA |
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 |
|---|---|---|---|
| LW61446513 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pend Oreille County Counseling Services | Past | Accepting new patients | |
| Pend Oreille County Counseling Services | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/pendoreilleco/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Newport, WA
- NPI 1104978824
-
- Mental Health Counselor
- Newport, WA
- NPI 1982956561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1578015145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 257",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985070257",
"telephone_number": "360-564-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3327 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "98201",
"telephone_number": "360-564-0930"
}
],
"practiceLocations": [
{
"address_1": "4784 N Lombard St Ste B5026",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972034565",
"country_code": "US",
"telephone_number": "360-564-0903",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "316 W Boone Ave Ste 850",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992012353",
"country_code": "US",
"telephone_number": "360-564-0903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENISON",
"first_name": "EDIN",
"middle_name": "DAIL",
"credential": "LCSW, LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-31",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61446513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2224675",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
- Shannon Demas
- Christina Maria Demeatris
- Melanie Marie Demerjian, ARNP
- Getachew Zewdie Demissie
- Amy Lynne Demoulin, OTR/L
- Todd M Denkinger, MD
- Todd Michael Denny, AAC
- Betsey Kaye Denonville, RN
- Priscilla Densmore
- Dental Professionals of Washington Quirt Mongrain Gibree PC (Canyon Creek Family & Implant Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.