Kathleen Patricia Walter, MSW, LSWAA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SA60352584 Issued in WA

Practice address

515 116TH Ave NE
Olive Crest
Bellevue, WA 98004-5223

Phone

(425) 462-1612

Fax

(425) 462-9268

NPI assigned

Jan 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kathleen Patricia Wate Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1851661912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 116TH AVE NE",
            "address_2": "OLIVE CREST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045223",
            "telephone_number": "425-462-1612",
            "fax_number": "425-462-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 116TH AVE NE",
            "address_2": "OLIVE CREST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045223",
            "telephone_number": "425-462-1612",
            "fax_number": "425-462-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "KATHLEEN",
        "middle_name": "PATRICIA",
        "credential": "MSW, LSWAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SA60352584",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SA60352584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "WATE",
            "middle_name": "PATRICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walmart Inc.
• Brigid Walsh
• John Stuart Walsh, M.D.
• Kaitlyn Noel Walsh
• Lynne Claire Walsh, ARNP
• Shari Walter, LMT
• Megan Walters
• Richard C. Walters, M.A.
• Scott William Walters, M.A., LMHCA
• Sydney Ann Walters, DMD

• Clinical Social Worker in Bellevue, WA
• Providers in Bellevue, 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 Jul 10, 2013; 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.