Individual provider Active NPI

Tara Ashley Pauw, LICSWA

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1659885127
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC60531436 Issued in WA
Practice address
316 Broadway
Seattle, WA 98122-5325
Phone
(206) 957-4886
Fax
(206) 621-8374
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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 SC60531436 WA Primary

Addresses

Primary practice location

316 Broadway
Seattle, WA 98122-5325

Mailing address

316 Broadway
Seattle, WA 98122-5325
Phone (206) 957-4886

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
SC60531436WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1659885127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225325",
            "telephone_number": "206-957-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225325",
            "telephone_number": "206-957-4886",
            "fax_number": "206-621-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUW",
        "first_name": "TARA",
        "middle_name": "ASHLEY",
        "credential": "LICSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60531436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.