Souchinda Viradet Khampradith, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00009478 Issued in WA

Practice address

15 S Grady Way Ste 347
Renton, WA 98057-3242

Phone

(206) 328-8889

Fax

(206) 328-8884

NPI assigned

Sep 15, 2010

Last updated

Sep 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lotus Behavioral Health LLC

  • Clinical Psychologist
  • Tukwila, WA
  • NPI 1891095410
  NPD (past)

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1649588401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84625",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245925",
            "telephone_number": "206-328-8889",
            "fax_number": "206-328-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S GRADY WAY STE 347",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573242",
            "telephone_number": "206-328-8889",
            "fax_number": "206-328-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAMPRADITH",
        "first_name": "SOUCHINDA",
        "middle_name": "VIRADET",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00009478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celina Kershner, HOME CARE PROVIDER
• Deborah Jean Ketterer, D.P.M.
• Kevin P. Huynh DDS PLLC
• Key Hearing PLLC
• Shawn B Khademi, DPM
• Melany Khamsitthisack, RN
• Dua Naveed Khan, DO
• Lubna Khan, MD
• Ramsha Khan
• Prakash Kharel, ARNP

• Clinical Social Worker in Renton, WA
• Providers in Renton, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.