Individual provider Active NPI

Marie Ramirez, MSW, LICSW

  • Clinical Social Worker
  • Mukilteo, WA
National Provider Identifier
1649934522
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60813647 Issued in WA
Practice address
8050 Mukilteo Speedway Unit 1412
Mukilteo, WA 98275-7062
Phone
(206) 758-8422
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X
Clinical Social Worker 1041C0700X LW60813647 WA Primary

Addresses

Primary practice location

8050 Mukilteo Speedway Unit 1412
Mukilteo, WA 98275-7062

Mailing address

8050 Mukilteo Speedway Unit 1412
Mukilteo, WA 98275-7062
Phone (206) 758-8422

Other practice location 1

4850 California Ave SW Ste 102
Seattle, WA 98116-4400
Phone (206) 758-8422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220628000754 WA Practitioner - Clinical Social Worker 7012396633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Seattle, WA 98116
Phone (206) 758-8422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60813647WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleidoscope Counseling PLLC Mental Health CurrentSince Apr 20, 2024 Accepting new patients
Mindful Therapy Group PC Mental Health CurrentSince May 19, 2022 Accepting new patients

Locations

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

8050 Mukilteo Speedway
Unit 1412
Mukilteo, WA 98275
Phone (206) 758-8422

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

4850 California Ave SW
Ste 102
Seattle, WA 98116
Phone (206) 758-8422

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1649934522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 MUKILTEO SPEEDWAY UNIT 1412",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982757062",
            "telephone_number": "206-758-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 MUKILTEO SPEEDWAY UNIT 1412",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982757062",
            "telephone_number": "206-758-8422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4850 California Ave SW Ste 102",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981164400",
            "country_code": "US",
            "telephone_number": "206-758-8422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "MARIE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60813647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukilteo, WA

Sources for this page

Verify at the official NPI Registry.