Active NPI
Melissa C Perry, LICSW, AAC
- Clinical Social Worker
- Seattle, WA
National Provider Identifier
1700132040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60632469
- Practice address
- 9800 4TH Ave NE
Seattle, WA 98115-2152 - Phone
- (206) 302-1200
- NPI assigned
- Jul 24, 2012
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 17957 | MD | |
| Counselor | 101Y00000X | CG60564710 | WA | |
| Mental Health Counselor | 101YM0800X | 17957 | MD | |
| Mental Health Counselor | 101YM0800X | CG60564710 | WA | |
| Professional Counselor | 101YP2500X | 17957 | MD | |
| Social Worker | 104100000X | 17957 | MD | |
| Clinical Social Worker | 1041C0700X | LW60632469 | WA | Primary |
Addresses
Primary practice location
9800 4TH Ave NE
Seattle, WA 98115-2152
Mailing address
12400 E Marginal Way S
Group Health
Tukwila, WA 98168-2559
Phone (206) 901-6010
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60564710 | WA | MD | Mental Health Counselor |
| 17957 | MD | MD | Professional Counselor |
Interoperability endpoints
- mperry175717@ghc.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1700132040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 E MARGINAL WAY S",
"address_2": "GROUP HEALTH",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981682559",
"telephone_number": "206-901-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 4TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152152",
"telephone_number": "206-302-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "MELISSA",
"middle_name": "C",
"credential": "LICSW, AAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "17957",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60564710",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "17957",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG60564710",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "17957",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "17957",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60632469",
"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 Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.