Individual provider Active NPI

Elenora P Von, MSW, LICSW

  • Social Worker
  • Mill Creek, WA
National Provider Identifier
1720304561
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LW60088199 Issued in WA
Practice address
15117 Main Street
Suite 205 #124
Mill Creek, WA 98012
Phone
(425) 285-8338
NPI assigned
Apr 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LW60088199 WA
Social Worker 104100000X LW60088199 WA Primary

Addresses

Primary practice location

15117 Main Street
Suite 205 #124
Mill Creek, WA 98012

Mailing address

15117 Main Street
Suite 205 #124
Mill Creek, WA 98012
Phone (425) 285-8338

Other identifiers 1

IdentifierTypeStateIssuer
1982909MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250214001211 WA Practitioner - Clinical Social Worker 2769912153 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60088199WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Snohomish County CurrentSince Jan 3, 2025 Accepting new patients
Community Health Center of Snohomish County CurrentSince Jan 3, 2025 Accepting new patients
Valley Cities Counseling and Consultation PastSince May 15, 2017 Accepting new patients
Neighborcare Health Past Accepting new patients

Locations

8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200

1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001

6002 168th St SW
Bldg B
Lynnwood, WA 98037

21801 44th Ave W
Mountlake Terrace, WA 98043
Phone (425) 431-1080

Organizations & group practices 4

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1720304561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15117 MAIN STREET",
            "address_2": "SUITE 205 #124",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-285-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15117 MAIN STREET",
            "address_2": "SUITE 205 #124",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-285-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON",
        "first_name": "ELENORA",
        "middle_name": "P",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW60088199",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60088199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982909",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

Verify at the official NPI Registry.