Individual provider Active NPI

William Strickler Etnyre, PHD,LICS

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1871656777
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00005625 Issued in WA
Practice address
908 14TH Ave E
Seattle, WA 98112-3904
Phone
(206) 285-7877
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LW00005625 WA Primary

Addresses

Primary practice location

908 14TH Ave E
Seattle, WA 98112-3904

Mailing address

908 14TH Ave E
Seattle, WA 98112-3904
Phone (206) 285-7877

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LW00005625WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871656777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 14TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123904",
            "telephone_number": "206-285-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 14TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123904",
            "telephone_number": "206-285-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETNYRE",
        "first_name": "WILLIAM",
        "middle_name": "STRICKLER",
        "name_prefix": "Dr.",
        "credential": "PHD,LICS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005625",
            "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 Jul 8, 2007; 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.