Active NPI
Carol Lee Mayes, M.S.W.
- Clinical Social Worker
- Seattle, WA
National Provider Identifier
1790969962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00006091
- Practice address
- 4649 Sunnyside Ave N Ste 344
Seattle, WA 98103-6955 - Phone
- (206) 817-3036
- NPI assigned
- Dec 24, 2007
- Last updated
- Aug 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW00006091 | WA | Primary |
Addresses
Primary practice location
4649 Sunnyside Ave N Ste 344
Seattle, WA 98103-6955
Mailing address
4649 Sunnyside Ave N Ste 344
Seattle, WA 98103-6955
Phone (206) 817-3036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8879944 | Other | WA | PROVIDER TRANSACTION ACCESS NUMBER (PTAN) |
Other names 1
- Carol Lee Kleiman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090513000537 | WA | Practitioner - Clinical Social Worker | 9436207248 | Practice locations: Seattle, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4649 Sunnyside Ave N
Suite 346
Seattle, WA 98103-6900
Phone (206) 817-3036
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00006091 | WA | MD | Clinical Social Worker |
| 6091 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249516800000",
"number": "1790969962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4649 SUNNYSIDE AVE N STE 344",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036955",
"telephone_number": "206-817-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4649 SUNNYSIDE AVE N STE 344",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036955",
"telephone_number": "206-817-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYES",
"first_name": "CAROL",
"middle_name": "LEE",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-24",
"last_updated": "2009-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00006091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER TRANSACTION ACCESS NUMBER (PTAN)",
"identifier": "G8879944",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "KLEIMAN",
"middle_name": "LEE",
"credential": "M.S.W.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.