Judith Anne Bartholomew, LCSW

Individual provider Active NPI Clinical Social Worker · Longview, WA

NPI 1790738938 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1790738938
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LW00004804 (WA)
Practice address
1329 Broadway St
Ste 202
Longview, WA 98632-3747
Phone
(360) 425-1322
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LW00004804WAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00004804 WA Yes

Addresses

Primary practice location

1329 Broadway St
Ste 202
Longview, WA 98632-3747

Mailing address

1329 Broadway St
Ste 202
Longview, WA 98632-3747
Phone (360) 425-1322

Other identifiers

IdentifierTypeStateIssuer
925914OtherWAREGENCE BLUE SHIELD OF WA

Other providers in Longview, WA

All providers in Longview, WA · Clinical Social Worker in Washington

Sources for this page

Verify at the official NPI Registry.