Individual provider Active NPI

Nix Cannady, LSWAIC

  • Clinical Social Worker
  • Shelton, WA
National Provider Identifier
1629889704
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61645221 Issued in WA
Practice address
625 W Railroad Ave # 216
Shelton, WA 98584-3522
Phone
(360) 450-4405
NPI assigned
Jan 16, 2025
Last updated
Feb 2, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2025

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 SC61645221 WA Primary

Addresses

Primary practice location

625 W Railroad Ave # 216
Shelton, WA 98584-3522

Mailing address

625 W Railroad Ave # 216
Shelton, WA 98584-3522
Phone (360) 450-4405

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

LicenseStateTypeSpecialty
SC61645221WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Femme and Them, PLLC Clinical CurrentSince Feb 9, 2025 Accepting new patients

Locations

625 W Railroad Ave
Shelton, WA 98584
Phone (360) 450-4405

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": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1629889704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W RAILROAD AVE # 216",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843522",
            "telephone_number": "360-450-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W RAILROAD AVE # 216",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843522",
            "telephone_number": "360-450-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNADY",
        "first_name": "NIX",
        "credential": "LSWAIC",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61645221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.