Elizabeth Klein, LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWIA.SC.61352901 Issued in WA

Practice address

1226 Evans CT
Dupont, WA 98327-8756

Phone

(253) 666-9950

NPI assigned

Aug 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1760101380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 EVANS CT",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278756",
            "telephone_number": "253-666-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 EVANS CT",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278756",
            "telephone_number": "253-666-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ELIZABETH",
        "credential": "LSWAIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWIA.SC.61352901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth@shmwa.com",
            "affiliation": "Y",
            "affiliationName": "Summit Health Management PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "6625 Wagner Way Ste 320",
            "city": "Gig Harbor",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983358392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katies Way Dupont
• Andrew Jay Kelly
• Jordan Kelso
• Amanda Jean Kilborn
• Hunter Kiphart
• Paiton Kline
• Yoojin Koo
• Abel Kouassi Kouassi Lenoir
• Kristan K Overby DDS PS
• Michaela Sue Krum, BA, RBT

• Clinical Social Worker in Dupont, WA
• Providers in Dupont, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; 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.