Organization Active NPI

Kimberly McKittrick MSW PLLC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1710526652
Registry record updated May 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KIMBERLY MCKITTRICK MSW PLLC
Practice address
4033 E Madison St Ste 203
Seattle, WA 98112-3104
Phone
(206) 337-9899
NPI assigned
Dec 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2021

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

Authorized official

Name
Ms. Kimberly McKittrick, MSWNPI 1831567064
Title
Sole Member
Phone
(206) 337-9899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

4033 E Madison St Ste 203
Seattle, WA 98112-3104

Mailing address

4033 E Madison St Ste 203
Seattle, WA 98112-3104
Phone (206) 337-9899

Other names 2

  • Kimberly McKittrick MSW Doing business as
  • Kimberly McKittrick MSW LMHC Doing business as

National Provider Directory

National Provider Directory

Locations

4033 E Madison St
Ste 104
Seattle, WA 98112
Phone (206) 201-1154

4033 E Madison St
Ste 203
Seattle, WA 98112
Phone (206) 328-8340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619827200000",
    "number": "1710526652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 E MADISON ST STE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123104",
            "telephone_number": "206-337-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 E MADISON ST STE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123104",
            "telephone_number": "206-337-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY MCKITTRICK MSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2021-05-01",
        "certification_date": "2021-05-01",
        "status": "A",
        "authorized_official_last_name": "MCKITTRICK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "206-337-9899",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly McKittrick MSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kimberly McKittrick MSW LMHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 1, 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.

Verify at the official NPI Registry.