Individual provider Active NPI

Courtney L. Bohen, LICSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1689997686
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61127310 Issued in WA
Practice address
1812 E Madison St Ste 107
Seattle, WA 98122-2873
Phone
(802) 356-1478
NPI assigned
Mar 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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 LW61127310 WA Primary

Addresses

Primary practice location

1812 E Madison St Ste 107
Seattle, WA 98122-2873

Mailing address

1812 E Madison St Ste 107
Seattle, WA 98122-2873
Phone (802) 356-1478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110118001216 VT Practitioner - Clinical Social Worker 8628267994
I20230111001563 WA Practitioner - Clinical Social Worker 8628267994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1812 E Madison St
Suite 107
Seattle, WA 98122-2873
Phone (802) 356-1478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW61127310WAMDClinical Social Worker

Organizations & group practices 1

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": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1689997686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 E MADISON ST STE 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222873",
            "telephone_number": "802-356-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 E MADISON ST STE 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222873",
            "telephone_number": "802-356-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHEN",
        "first_name": "COURTNEY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61127310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.