Colleen Culley Deprez, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61276536 Issued in WA

Practice address

8801 14TH Ave S
Seattle, WA 98108-4809

Phone

(206) 766-6976

Fax

(206) 766-6993

NPI assigned

Feb 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1720544422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 14TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084809",
            "telephone_number": "206-766-6976",
            "fax_number": "206-766-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 14TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084809",
            "telephone_number": "206-766-6976",
            "fax_number": "206-766-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPREZ",
        "first_name": "COLLEEN",
        "middle_name": "CULLEY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2103039",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61276536",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1903292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Veterans Affairs
• Department of Veterans Affairs
• Department of Veterans Affairs Puget Sound Health Care System
• William J Depaso, MD
• Vincent Michael Depassio, ARNP
• Rachelle Depta
• Natalie Deraiche, MS
• Abnet Derar
• Diane Derboghosian
• Samson S Derebe, DDS

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.