Michelle Dawn Enterline, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61027323 Issued in WA

Practice address

10526 NE 68TH St
Suite A101
Kirkland, WA 98033-7004

Phone

(360) 931-6234

NPI assigned

Nov 22, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1353542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1780928234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 8TH ST STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603294",
            "telephone_number": "360-931-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10526 NE 68TH ST",
            "address_2": "SUITE A101",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337004",
            "telephone_number": "360-931-6234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E 8th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603294",
            "country_code": "US",
            "telephone_number": "360-931-6234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENTERLINE",
        "first_name": "MICHELLE",
        "middle_name": "DAWN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-22",
        "last_updated": "2022-10-18",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60324572",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LMSW32945",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61027323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Engage Counseling PLLC
• Kristine Engels, RN
• Amanda Laurie Engholm, LM, CPM
• David Engle
• Anthony Ensey
• Alissa Enzler
• Epione Healing LLC
• K. David Epley, M.D.
• Derek Joseph Eppright, MD
• Becki Lynn Erickson, LPN

• Clinical Social Worker in Kirkland, WA
• Providers in Kirkland, 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 18, 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.