Active NPI
Pacific Northwest Mental Wellness LLC
- Clinical Social Worker
- Normandy Park, WA
National Provider Identifier
1639977002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PACIFIC NORTHWEST MENTAL WELLNESS LLC
- Practice address
- 18610 2ND Ave SW
Normandy Park, WA 98166-4010 - Phone
- (206) 291-3940
- NPI assigned
- Mar 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie E Heaney Rule, LICSW
- Title
- Owner
- Phone
- (253) 765-8325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
18610 2ND Ave SW
Normandy Park, WA 98166-4010
Mailing address
17837 1St Ave S # 203
Normandy Park, WA 98148-1728
Phone (253) 765-8325
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Puyallup, WA
- NPI 1821630344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777334400000",
"number": "1639977002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17837 1ST AVE S # 203",
"city": "NORMANDY PARK",
"state": "WA",
"postal_code": "981481728",
"telephone_number": "253-765-8325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18610 2ND AVE SW",
"city": "NORMANDY PARK",
"state": "WA",
"postal_code": "981664010",
"telephone_number": "206-291-3940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC NORTHWEST MENTAL WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-03",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A",
"authorized_official_last_name": "HEANEY RULE",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-765-8325",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Normandy Park, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.