Individual provider Active NPI

Michiko Kono, LICSW

  • Clinical Social Worker
  • Lynnwood, WA
National Provider Identifier
1851561609
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00007833 Issued in WA
Practice address
19101 36TH Ave W Ste 207
Lynnwood, WA 98036-5759
Phone
(206) 487-6365
NPI assigned
Mar 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00007833 WA Primary

Addresses

Primary practice location

19101 36TH Ave W Ste 207
Lynnwood, WA 98036-5759

Mailing address

PO Box 31745
Seattle, WA 98103-1745
Phone (206) 487-6365

Other practice location 1

3639 Martin Luther King Jr Way S
Seattle, WA 98144-6847
Phone (206) 695-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180621000068 WA Practitioner - Clinical Social Worker 4880949577 Practice locations: Mountlake Terrace, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5803 232ND St SW
Mountlake Terrace, WA 98043-4637
Phone (206) 487-6365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW00007833WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Courtney Miller PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1851561609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31745",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981031745",
            "telephone_number": "206-487-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19101 36TH AVE W STE 207",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365759",
            "telephone_number": "206-487-6365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3639 Martin Luther King Jr Way S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981446847",
            "country_code": "US",
            "telephone_number": "206-695-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONO",
        "first_name": "MICHIKO",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00007833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.