Active NPI
Sara Kochanski, LCSW
- Clinical Social Worker
- Seattle, WA
National Provider Identifier
1679995005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-4168
- Practice address
- 1660 S Columbian Way
S-123-PCC
Seattle, WA 98108-1532 - Phone
- (206) 277-4902
- Fax
- (206) 764-2936
- NPI assigned
- Jan 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SC60424614 | WA | |
| Social Worker | 104100000X | 11277 | SC | |
| Clinical Social Worker | 1041C0700X | LCSW-4168 | HI | Primary |
Addresses
Primary practice location
1660 S Columbian Way
S-123-PCC
Seattle, WA 98108-1532
Mailing address
1660 S Columbian Way
S-123-PCC
Seattle, WA 98108-1532
Phone (206) 277-4902
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 |
|---|---|---|---|
| 11277 | SC | MD | Social Worker |
| SC60424614 | WA | MD | Social Worker |
| LCSW-4168 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1679995005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 S COLUMBIAN WAY",
"address_2": "S-123-PCC",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081532",
"telephone_number": "206-277-4902",
"fax_number": "206-764-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 S COLUMBIAN WAY",
"address_2": "S-123-PCC",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081532",
"telephone_number": "206-277-4902",
"fax_number": "206-764-2936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCHANSKI",
"first_name": "SARA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-21",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SC60424614",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "11277",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-4168",
"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 Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.