NPIMap

Organization Active NPI

King County Sexual Assault Resource Center

  • Clinical Social Worker
  • Renton, WA
National Provider Identifier
1750516829
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00009759 Issued in WA
Legal business name
KING COUNTY SEXUAL ASSAULT RESOURCE CENTER
Practice address
200 Mill Ave S Ste 10
Renton, WA 98057-2175
Phone
(425) 226-5062
Fax
(425) 235-7422
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Ms. Deann Yamamoto, MA
Title
Deputy Executive Director
Phone
(425) 282-0349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LW00009759 WA Primary

Addresses

Primary practice location

200 Mill Ave S Ste 10
Renton, WA 98057-2175

Mailing address

200 Mill Ave S Ste 10
Renton, WA 98057-2175
Phone (425) 226-5062

Other names 1

  • KCSARC Other name

National Provider Directory

National Provider Directory
Tax ID family
Kcsarc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1750516829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL AVE S STE 10",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572175",
            "telephone_number": "425-226-5062",
            "fax_number": "425-235-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MILL AVE S STE 10",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572175",
            "telephone_number": "425-226-5062",
            "fax_number": "425-235-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING COUNTY SEXUAL ASSAULT RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "YAMAMOTO",
        "authorized_official_first_name": "DEANN",
        "authorized_official_title_or_position": "DEPUTY EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "425-282-0349",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00009759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KCSARC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.