Individual provider Active NPI

Rita NMN Simeone, LCSW, LICSW

  • Clinical Social Worker
  • Issaquah, WA
National Provider Identifier
1851642870
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60988810 Issued in WA
Practice address
22500 SE 64TH PL Ste 230
Issaquah, WA 98027-8111
Phone
(978) 992-2557
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16759 CA
Clinical Social Worker 1041C0700X 117065 MA
Clinical Social Worker 1041C0700X LW60988810 WA Primary

Addresses

Primary practice location

22500 SE 64TH PL Ste 230
Issaquah, WA 98027-8111

Mailing address

15325 SE 155TH PL Unit G1
Renton, WA 98058-6316
Phone (978) 992-2557

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
I20260205003338 WA Practitioner - Clinical Social Worker 8527003284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60988810WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC CurrentSince Nov 22, 2025 Accepting new patients
Western Psychological and Counseling Services LLC Clinical Past Accepting new patients

Locations

22500 SE 64th Pl
Ste 230
Issaquah, WA 98027
Phone (425) 409-6414

22620 SE 4th St
Ste 130
Sammamish, WA 98074
Phone (425) 659-5313

19120 SE 34th St
Ste 201
Vancouver, WA 98683
Phone (360) 906-1190

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.ritasimeone@147765.advancedmd-direct.com

Organizations & group practices 2

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": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1851642870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15325 SE 155TH PL UNIT G1",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980586316",
            "telephone_number": "978-992-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22500 SE 64TH PL STE 230",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278111",
            "telephone_number": "978-992-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMEONE",
        "first_name": "RITA",
        "middle_name": "NMN",
        "name_prefix": "Ms.",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "16759",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117065",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60988810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.