Kary Melinda Addison, MSW

Individual provider Active NPI Clinical Social Worker · Edmonds, WA

NPI 1730115486 · NPPES record last updated Feb 24, 2014

Key facts

NPI
1730115486
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LW00005316 (WA)
Practice address
406 Main St Ste 115
Edmonds, WA 98020-3166
Phone
(206) 521-3644
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LW00005316WAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00005316 WA Yes

Addresses

Primary practice location

406 Main St Ste 115
Edmonds, WA 98020-3166

Mailing address

406 Main St Ste 115
Edmonds, WA 98020-3166
Phone (206) 521-3644

Other providers in Edmonds, WA

All providers in Edmonds, WA · Clinical Social Worker in Washington

Sources for this page

Verify at the official NPI Registry.