Carlo Quedado, MSW, ASW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LW60913237 Issued in WA

Practice address

17330 135TH Ave NE Ste 2B
Woodinville, WA 98072-8522

Phone

(425) 998-9769

Fax

(844) 837-1339

NPI assigned

Mar 20, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1780001339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 135TH AVE NE STE 2B",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728522",
            "telephone_number": "425-998-9769",
            "fax_number": "844-837-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 135TH AVE NE STE 2B",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728522",
            "telephone_number": "425-998-9769",
            "fax_number": "844-837-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEDADO",
        "first_name": "CARLO",
        "credential": "MSW, ASW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-20",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW61417",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60913237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.