Individual provider Active NPI

Kara Hawthorne, LCSW, LICSW

  • Clinical Social Worker
  • Mercer Island, WA
National Provider Identifier
1750252532
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61689475 Issued in WA
Practice address
4400 88TH Ave SE
Mercer Island, WA 98040-4148
Phone
(703) 999-1098
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 61689475 WA Primary
Clinical Social Worker 1041C0700X 992862 CO

Addresses

Primary practice location

4400 88TH Ave SE
Mercer Island, WA 98040-4148

Mailing address

7801 89TH PL SE
Mercer Island, WA 98040-5750
Phone (202) 437-3537

Other practice location 1

100 Timber Ridge Way NW
Issaquah, WA 98027-8890
Phone (202) 437-3537

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
I20251014001797 WA Practitioner - Clinical Social Worker 7719474717

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7801 89TH PL SE
Mercer Island, WA 98040-5750

8270 Woodland Ctr Blvd
Tampa, FL 33614-2401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
992862COMDClinical Social Worker
61689475WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1750252532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 89TH PL SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980405750",
            "telephone_number": "202-437-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 88TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404148",
            "telephone_number": "703-999-1098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Timber Ridge Way NW",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980278890",
            "country_code": "US",
            "telephone_number": "202-437-3537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "KARA",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61689475",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

Verify at the official NPI Registry.