Seattle Social Work and Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LW60543263 Issued in WA

Legal business name

SEATTLE SOCIAL WORK AND COUNSELING

Practice address

1812 E Madison St
#202
Seattle, WA 98122-2843

Phone

(858) 598-3713

NPI assigned

Nov 8, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer WildeNPI 1164677738

Title

Social Worker/Counselor

Phone

(858) 598-3713

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Marie Hebron Wilde, LISCW

  • Clinical Social Worker
  • Shoreline, WA
  • NPI 1164677738
  Authorized official Same address or phone

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1750823662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7414 S 128TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981784346",
            "telephone_number": "858-598-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 E MADISON ST",
            "address_2": "#202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222843",
            "telephone_number": "858-598-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE SOCIAL WORK AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "WILDE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SOCIAL WORKER/COUNSELOR",
        "authorized_official_telephone_number": "858-598-3713"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "LW60543263",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "LW60543263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seattle Skills Training PLLC (Seattle DBT Skills)
• Seattle Sleep Institute LLC (Seattle Sleep Institute)
• Seattle Sleep Solutions LLC
• Seattle SNF Operations, LLC (Seattle Medical Post Acute Care)
• Seattle Social Skills Support LLC
• Seattle Speech Pathology, PLLC (Alita Shaw)
• Seattle Spine & Rehabilitation Medicine PS (Seattle Spine & Rehabilitation Medicine)
• Seattle Spine & Wellness Center
• Seattle Spine and Rehabilitation
• Seattle Spine Institute PLLC

• Community/Behavioral Health Agency in Seattle, WA
• Providers in Seattle, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.