Kimberly McKittrick, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61151036 Issued in WA

Practice address

4033 E Madison St Ste 203
Seattle, WA 98112-3104

Phone

(206) 337-9899

NPI assigned

Sep 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kimberly McKittrick MSW PLLC

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1710526652
  NPD Authorized official
• Southeast Youth and Family Services

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1326453051
  NPD (past)

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1831567064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 E MADISON ST STE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123104",
            "telephone_number": "206-337-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 E MADISON ST STE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123104",
            "telephone_number": "206-337-9899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3722 S Hudson St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981181920",
            "country_code": "US",
            "telephone_number": "206-721-5542 x17",
            "fax_number": "206-721-5917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKITTRICK",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61151036",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60890806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisbeth M McKinnon, MD
• Maya McKinsey
• Lea Hutchinson McKinstry, N.D.
• Mia McKinstry, MD
• Devin McKissic, MD
• Kayla Rae McKnight
• Lee McKoin, MD
• Trevor Alden McKoy Jr., MD
• Dominique Taylor McLain
• Regin McLane, RDN

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.