Individual provider Active NPI

Zofia Mae Whittaker, MSW, LICSWA

  • Clinical Social Worker
  • Redmond, WA
National Provider Identifier
1790463248
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61442907 Issued in WA
Practice address
16150 NE 85TH St Ste 222B
Redmond, WA 98052-3546
Phone
(425) 549-4620
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC61442907 WA Primary

Addresses

Primary practice location

16150 NE 85TH St Ste 222B
Redmond, WA 98052-3546

Mailing address

16150 NE 85TH St Ste 222B
Redmond, WA 98052-3546

Other names 1

  • Zosia Whittaker Other name

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
SC61442907WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Tait, LMFT, PLLC CurrentSince Jul 9, 2023 Accepting new patients

Locations

16150 NE 85th St
Ste 222B
Redmond, WA 98052
Phone (425) 202-7802

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1790463248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 222B",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 222B",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523546",
            "telephone_number": "425-549-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "ZOFIA",
        "middle_name": "MAE",
        "credential": "MSW, LICSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61442907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZOSIA",
            "last_name": "WHITTAKER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.