Organization Active NPI

Northwest Therapy and Counseling, PLLC

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1750967089
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NORTHWEST THERAPY AND COUNSELING, PLLC
Practice address
701 5TH Ave Ste 42
Seattle, WA 98104-7097
Phone
(206) 702-8628
Fax
(206) 238-9764
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Carmina Chang, LICSW
Title
President
Phone
(206) 702-8628

Specialties & licenses 1

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

Addresses

Primary practice location

701 5TH Ave Ste 42
Seattle, WA 98104-7097

Mailing address

6092 Osprey Cir
Bremerton, WA 98312-8807
Phone (206) 702-8628

National Provider Directory

National Provider Directory

Locations

701 5th Ave
Ste 42
Seattle, WA 98104
Phone (206) 395-6088

Practitioners & affiliated clinicians

Practitioners 1

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": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1750967089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6092 OSPREY CIR",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983128807",
            "telephone_number": "206-702-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 5TH AVE STE 42",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981047097",
            "telephone_number": "206-702-8628",
            "fax_number": "206-238-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST THERAPY AND COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "CARMINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-702-8628",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.