Active NPI
Nix Cannady, LSWAIC
- Clinical Social Worker
- Shelton, WA
National Provider Identifier
1629889704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC61645221
- Practice address
- 625 W Railroad Ave # 216
Shelton, WA 98584-3522 - Phone
- (360) 450-4405
- NPI assigned
- Jan 16, 2025
- Last updated
- Feb 2, 2025
- Sex
- Unspecified or another gender identity
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| SC61645221 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Femme and Them, PLLC | Clinical | Current | 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.