Rebecca M. Fishaut, MSW, Licsw, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60205276 Issued in WA

Legal business name

REBECCA M. FISHAUT, MSW, LICSW, PLLC

Practice address

1417 NW 54TH St Ste 334
Seattle, WA 98107-3571

Phone

(425) 954-7473

Fax

(844) 308-5012

NPI assigned

Apr 7, 2016

Organization subpart

No

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

Authorized official

Name

Rebecca M. Fishaut, MSWNPI 1174815922

Title

Therapist/Sole Proprietor

Phone

(425) 954-7473

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca M. Fishaut, LICSW

  • Clinical Social Worker
  • Seattle, WA
  • NPI 1174815922
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1821452640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 NW 54TH ST STE 334",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073571",
            "telephone_number": "425-954-7473",
            "fax_number": "844-308-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 NW 54TH ST STE 334",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073571",
            "telephone_number": "425-954-7473",
            "fax_number": "844-308-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA M. FISHAUT, MSW, LICSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "FISHAUT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "THERAPIST/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "425-954-7473",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60205276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2074083",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malia Ream, MS
• Kathleen Elizabeth Rean, M.D.
• George Rear, PT, DPT
• Ashley Ann Reasor
• Rebecca Gimelli & Assit, Inc
• Rebekah Nguyen, PLLC
• Rebel Med Therapy PLLC
• Fidel Carillo Rebeles, M.D.
• Rebelle Therapy PLLC
• Jessica Anne Reber, RDN, CDCES

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, 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 Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.