Individual provider Active NPI

Kevin Joseph Murphy, LCSW

  • Clinical Social Worker
  • Mountlake Terrace, WA
National Provider Identifier
1699876177
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61035815 Issued in WA
Practice address
6505 216TH St SW Ste 100
Mountlake Terrace, WA 98043-2089
Phone
(607) 734-0980
Fax
(607) 734-0981
NPI assigned
Sep 26, 2006
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 070877-1 NY
Clinical Social Worker 1041C0700X LW61035815 WA Primary

Addresses

Primary practice location

6505 216TH St SW Ste 100
Mountlake Terrace, WA 98043-2089

Mailing address

407 W Water St
Elmira, NY 14905-2521
Phone (607) 734-0980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA, NH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040813000873 NY Practitioner - Clinical Social Worker 8123091683 Reassigns benefits to 2 organizations
I20230612001163 WA Practitioner - Clinical Social Worker 8123091683 Reassigns benefits to 1 organization
I20250319002835 NH Practitioner - Clinical Social Worker 8123091683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifeworks Counseling Associates PLLCGroup PAC ID 8123358686, 4 clinicians

Practice addresses (Care Compare)

35 Academy St
Laconia, NH 03246-3606
Phone (606) 556-4360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070877-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks Counseling Associates PLLC Clinical CurrentSince Mar 13, 2025 Accepting new patients
Mindful Therapy Group PC Clinical CurrentSince Mar 13, 2023 Accepting new patients
Pinnacle Behavioral Health Ipa PLLC CurrentSince Jan 5, 2025 Accepting new patients
Southern Tier Counseling Center, LLC Clinical CurrentSince Jan 23, 2006 Accepting new patients
Clinical Social Work and Counseling Services of the Finger Lakes Clinical PastSince Aug 1, 1992 Accepting new patients
Elephant in the Room LLC Past Accepting new patients

Locations

35 Academy St
Laconia, NH 03246
Phone (603) 387-1230

10 McKown Rd
Ste 102
Albany, NY 12203
Phone (518) 689-0244

407 W Water St
Elmira, NY 14905
Phone (607) 734-0980

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

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

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1699876177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052521",
            "telephone_number": "607-734-0980",
            "fax_number": "607-734-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 216TH ST SW STE 100",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432089",
            "telephone_number": "607-734-0980",
            "fax_number": "607-734-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070877-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61035815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

Verify at the official NPI Registry.