Active NPI
Senait Tesfahuney Kibreab, HCA
- Social Worker
- Battle Ground, WA
National Provider Identifier
1831950807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 756812
- Practice address
- 18610 NE 109TH Ave
Battle Ground, WA 98604-6115 - Phone
- (408) 470-9418
- NPI assigned
- Jan 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 756812 | WA | |
| Social Worker | 104100000X | 756812 | Primary |
Addresses
Primary practice location
18610 NE 109TH Ave
Battle Ground, WA 98604-6115
Mailing address
18610 NE 109TH Ave
Battle Ground, WA 98604-6115
Phone (408) 470-9418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 756812 | WA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1831950807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18610 NE 109TH AVE",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986046115",
"telephone_number": "408-470-9418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18610 NE 109TH AVE",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986046115",
"telephone_number": "408-470-9418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIBREAB",
"first_name": "SENAIT",
"middle_name": "TESFAHUNEY",
"credential": "HCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-17",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "756812",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": "756812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Ground, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.