Kerry Lynn McCarter, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61166092 Issued in WA

Practice address

200 W Mercer St Ste E407
Seattle, WA 98119-3958

Phone

(206) 459-7994

NPI assigned

Jul 25, 2018

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

Opted out of Medicare

Yes, effective Dec 20, 2021 through Dec 20, 2027

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.

• Affinity Counseling Services PLLC

  • Clinical Social Worker
  • Seattle, WA
  • NPI 1194572438
  NPD
• Navigate Northwest

  • Adult Mental Health Clinic/Center
  • Edmonds, WA
  • NPI 1881198844
  NPD (past)

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1831676592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 NW 70TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981176221",
            "telephone_number": "206-783-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MERCER ST STE E407",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193958",
            "telephone_number": "206-459-7994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23106 100th Ave W",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980205018",
            "country_code": "US",
            "telephone_number": "206-459-7994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTER",
        "first_name": "KERRY",
        "middle_name": "LYNN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60864036",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61166092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Leanna Boettner McCann, MA, LMHCA
• Yuli McCann, MD
• Lanny McCanta, MD
• James Brett McCardel, MS, CCC-SLP
• Taylor McCarrey, MA, LMHC, MHP
• Safiya McCarter, ND
• Chabella McCarthy May, MSW, LICSW
• Jeanne McCarthy-Kaiser, PHARMD
• Andrea Kretchmer McCarthy, MS, CCC-SLP
• Arden McCarthy, PTA

• 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 Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.