Active NPI
Cameron T Murdock, MSW
- Clinical Social Worker
- Mill Creek, WA
National Provider Identifier
1730367673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- RC00025247
- Practice address
- 805 164TH St SE Ste 101
Mill Creek, WA 98012-6316 - Phone
- (425) 405-5515
- NPI assigned
- Feb 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | RC00025247 | WA | Primary |
Addresses
Primary practice location
805 164TH St SE Ste 101
Mill Creek, WA 98012-6316
Mailing address
PO Box 14342
Mill Creek, WA 98082-2342
Phone (206) 898-6013
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
| License | State | Type | Specialty |
|---|---|---|---|
| RC00025247 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cameron Murdock Group | Clinical | Current | Accepting new patients |
Locations
828 2nd St
Ste H
Mukilteo, WA 98275
Phone (425) 750-4937
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Mukilteo, WA
- NPI 1003449497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1730367673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14342",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980822342",
"telephone_number": "206-898-6013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 164TH ST SE STE 101",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980126316",
"telephone_number": "425-405-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURDOCK",
"first_name": "CAMERON",
"middle_name": "T",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-01",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "RC00025247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.