Individual provider Active NPI

Andrew Ensor, MSW, LSWAIC, SUDP

  • Clinical Social Worker
  • Kenmore, WA
National Provider Identifier
1750983243
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61010971 Issued in WA
Practice address
19010 68TH Ave NE Unit C202
Kenmore, WA 98028-2692
Phone
(206) 947-6235
NPI assigned
Nov 10, 2020
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 61131015 WA
Clinical Social Worker 1041C0700X 61010971 WA Primary

Addresses

Primary practice location

19010 68TH Ave NE Unit C202
Kenmore, WA 98028-2692

Mailing address

19010 68TH Ave NE Unit C202
Kenmore, WA 98028-2692
Phone (206) 947-6235

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

LicenseStateTypeSpecialty
61131015WAMDAddiction (Substance Use Disorder) Counselor
61010971WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Ensor Counseling, PLLC Addiction (Substance Use Disorder) CurrentSince Dec 3, 2023 Accepting new patients

Locations

2811 E Madison St
Ste 205
Seattle, WA 98112
Phone (206) 285-7877

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1750983243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19010 68TH AVE NE UNIT C202",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980282692",
            "telephone_number": "206-947-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19010 68TH AVE NE UNIT C202",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980282692",
            "telephone_number": "206-947-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSOR",
        "first_name": "ANDREW",
        "credential": "MSW, LSWAIC, SUDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-10",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "61131015",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61010971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.