Individual provider Active NPI

Katijean Thorpe, LCSW

  • Clinical Social Worker
  • Sequim, WA
National Provider Identifier
1770817660
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW 60063910 Issued in WA
Practice address
9732 Old Olympic Hwy
Sequim, WA 98382-3150
Phone
(360) 565-6028
Fax
(360) 323-6403
NPI assigned
Sep 24, 2009
Last updated
May 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW 60063910 WA Primary
Clinical Social Worker 1041C0700X 5300062-3501 UT

Addresses

Primary practice location

9732 Old Olympic Hwy
Sequim, WA 98382-3150

Mailing address

PO Box 274
Port Angeles, WA 98362-0045
Phone (360) 565-6028

Other identifiers 1

IdentifierTypeStateIssuer
WA12577OtherWAMEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5300062-3501UTMDClinical Social Worker
LW 60063910WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
McBride Psychologcial Services, P.S. PastSince Jan 7, 2016 Accepting new patients
Peninsula Behavioral Health PastSince Jun 27, 2008 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/peninsulabehavioral/r4/

Organizations & group practices 3

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": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1770817660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 274",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983620045",
            "telephone_number": "360-565-6028",
            "fax_number": "360-323-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9732 OLD OLYMPIC HWY",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823150",
            "telephone_number": "360-565-6028",
            "fax_number": "360-323-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORPE",
        "first_name": "KATIJEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60063910",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5300062-3501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  NUMBER",
            "identifier": "WA12577",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

Verify at the official NPI Registry.