Individual provider Active NPI

Kathleen Kaiser, LICSW

  • Clinical Social Worker
  • Redmond, WA
National Provider Identifier
1700216439
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60118603 Issued in WA
Practice address
7981 168TH Ave NE Ste 224
Redmond, WA 98052-0911
Phone
(425) 213-0994
NPI assigned
Nov 15, 2013
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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 LW60118603 WA Primary

Addresses

Primary practice location

7981 168TH Ave NE Ste 224
Redmond, WA 98052-0911

Mailing address

7981 168TH Ave NE Ste 224
Redmond, WA 98052-0911
Phone (425) 213-0994

Other practice location 1

1407 Boalch Ave NW
North Bend, WA 98045-7994
Phone (425) 888-2777

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
LW60118603WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Northwest Past Accepting new patients
Mountain View Pediatric Speech & Language Past Accepting new patients
Issaquah Highlands Counseling Group LLC Clinical Past Accepting new patients

Organizations & group practices 3

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": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1700216439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7981 168TH AVE NE STE 224",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980520911",
            "telephone_number": "425-213-0994",
            "fax_number": "425-961-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7981 168TH AVE NE STE 224",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980520911",
            "telephone_number": "425-213-0994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 Boalch Ave NW",
            "address_purpose": "LOCATION",
            "city": "North Bend",
            "state": "WA",
            "postal_code": "980457994",
            "country_code": "US",
            "telephone_number": "425-888-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAISER",
        "first_name": "KATHLEEN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60118603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.