Individual provider Active NPI

Karen Dorothy Wyome, MSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1811070840
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00004091 Issued in WA
Practice address
13610 Greenwood Ave N Apt C
Seattle, WA 98133-7371
Phone
(206) 850-1270
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW21754 AZ
Clinical Social Worker 1041C0700X CSW09928602 CO
Clinical Social Worker 1041C0700X LW00004091 WA Primary

Addresses

Primary practice location

13610 Greenwood Ave N Apt C
Seattle, WA 98133-7371

Mailing address

13610 Greenwood Ave N Apt C
Seattle, WA 98133-7371
Phone (206) 850-1270

Other names 1

  • Karen Dorothy Pedtke Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326001388 WA Practitioner - Clinical Social Worker 8820986615 Reassigns benefits to 1 organization
Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Shelton, WA 98584
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW21754AZMDClinical Social Worker
CSW09928602COMDClinical Social Worker
LW00004091WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Jul 1, 2025 Accepting new patients

Locations

2550 W Union Hills Dr
Ste 350
Phoenix, AZ 85027
Phone (480) 404-4952

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1811070840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13610 GREENWOOD AVE N APT C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337371",
            "telephone_number": "206-850-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13610 GREENWOOD AVE N APT C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337371",
            "telephone_number": "206-850-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYOME",
        "first_name": "KAREN",
        "middle_name": "DOROTHY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW21754",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09928602",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "PEDTKE",
            "middle_name": "DOROTHY",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.