Individual provider Active NPI

Christina Dawn Mecca-McClory, LCSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1588186779
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61660554 Issued in WA
Practice address
531 Queen Anne Ave N
Seattle, WA 98109-4521
Phone
(176) 665-3698
NPI assigned
Jul 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103400 TX
Clinical Social Worker 1041C0700X LW61660554 WA Primary

Addresses

Primary practice location

531 Queen Anne Ave N
Seattle, WA 98109-4521

Mailing address

611 E 4TH St
Joshua, TX 76058-2815
Phone (817) 666-5369

Other names 1

  • Christina Dawn Walker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, UT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250818004124 WA Practitioner - Clinical Social Worker 2466951298 Reassigns benefits to 1 organization
I20250819002259 TX Practitioner - Clinical Social Worker 2466951298 Reassigns benefits to 2 organizations
I20250924002564 UT Practitioner - Clinical Social Worker 2466951298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 CVS Dr
Woonsocket, RI 02895-6146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW61660554WAMDClinical Social Worker
103400TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Telehealth Services of Texas Association Clinical CurrentSince Aug 12, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Clinical CurrentSince Aug 12, 2025 Accepting new patients
Minuteclinic Diagnostic of Utah, LLC CurrentSince Aug 12, 2025 Accepting new patients
Minuteclinic Diagnostic of Washington, PLLC Clinical CurrentSince Jul 31, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Clinical CurrentSince Aug 12, 2025 Accepting new patients

Locations

1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

602 W Grand Pkwy S
Katy, TX 77494
Phone (281) 392-3808

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

7777 S Redwood Rd
West Jordan, UT 84084
Phone (801) 255-9077

11918 Airport Rd
Everett, WA 98204
Phone (425) 353-7687

33520 21st Ave SW
Federal Way, WA 98023
Phone (253) 838-1611

531 Queen Anne Ave N
Seattle, WA 98109
Phone (206) 284-7286

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1588186779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E 4TH ST",
            "city": "JOSHUA",
            "state": "TX",
            "postal_code": "760582815",
            "telephone_number": "817-666-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 QUEEN ANNE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094521",
            "telephone_number": "176-665-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECCA-MCCLORY",
        "first_name": "CHRISTINA",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61660554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "WALKER",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.