Individual provider Active NPI

Dana M Blue, LICSW FIPA

  • Psychoanalyst
  • Seattle, WA
National Provider Identifier
1851601835
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
LW 00005962 Issued in WA
Practice address
2025 1St Ave
Suite 750
Seattle, WA 98121-2158
Phone
(206) 709-9044
NPI assigned
Oct 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X LW 00005962 WA Primary

Addresses

Primary practice location

2025 1St Ave
Suite 750
Seattle, WA 98121-2158

Mailing address

2025 1St Ave
Suite 750
Seattle, WA 98121-2158
Phone (206) 709-9044

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

LicenseStateTypeSpecialty
LW 00005962WAMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1851601835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 1ST AVE",
            "address_2": "SUITE 750",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212158",
            "telephone_number": "206-709-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 1ST AVE",
            "address_2": "SUITE 750",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212158",
            "telephone_number": "206-709-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "DANA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LICSW FIPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "WA",
            "license": "LW 00005962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.