Mary Rose Dewald, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61452122 Issued in WA

Practice address

509 4TH St Ste 7
Bremerton, WA 98337-1401

Phone

(360) 620-3402

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Flying Bagel Counseling Services

  • Clinical Social Worker
  • Bremerton, WA
  • NPI 1164296828
  NPD Authorized official

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1831817121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 4TH ST STE 7",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371401",
            "telephone_number": "360-620-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 4TH ST STE 7",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371401",
            "telephone_number": "360-620-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWALD",
        "first_name": "MARY ROSE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61452122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regan Desmet, LICSW-A, MHP, MSW
• Christina Desmond
• Chelsie Determan
• Antoinette Devares-Clay
• Christina Devereaux
• Shylynn I Dewey, LMT
• Tonya Corissa Dews
• Salimah Dhanani, MD
• Gobind Dhawan, CNA
• Mandeep Singh Dhawan, MD

• Clinical Social Worker in Bremerton, WA
• Providers in Bremerton, 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 Nov 19, 2025; 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.