Active NPI
Rachelle Ballmer, LICSW
- Clinical Social Worker
- Seattle, WA
National Provider Identifier
1629258405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00005902
- Practice address
- 753 N 35TH St
Suite 102
Seattle, WA 98103-8870 - Phone
- (206) 321-1299
- Fax
- (206) 985-2698
- NPI assigned
- Nov 8, 2007
- 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 | LW00005902 | WA | Primary |
Addresses
Primary practice location
753 N 35TH St
Suite 102
Seattle, WA 98103-8870
Mailing address
PO Box 14435
Seattle, WA 98114-0435
Phone (206) 321-1299
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00005902 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1629258405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14435",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981140435",
"telephone_number": "206-321-1299",
"fax_number": "206-985-2698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "753 N 35TH ST",
"address_2": "SUITE 102",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038870",
"telephone_number": "206-321-1299",
"fax_number": "206-985-2698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLMER",
"first_name": "RACHELLE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-08",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00005902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.