Mary Rose Toledo Picardal, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60895989 Issued in WA

Practice address

22904 40TH PL W
Mountlake Terrace, WA 98043-5002

Phone

(206) 369-0439

NPI assigned

May 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1589673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1891317467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22904 40TH PL W",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435002",
            "telephone_number": "206-369-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22904 40TH PL W",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435002",
            "telephone_number": "206-369-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICARDAL",
        "first_name": "MARY ROSE",
        "middle_name": "TOLEDO",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-17",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60895989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher J Peterson, PHD, MA, LMHC-A
• Kimberly Peterson, LMHC
• Selina Petschek, CNM
• Nhat Pham, DDS
• Kevin R Piasecki, MSPT, OCS
• Andrea Pierce
• Pinpoint Behavioral Services
• Fortunato Placencia Jr.
• Shalea Ray Plasky
• Marsha Poischbeg

• Clinical Social Worker in Mountlake Terrace, WA
• Providers in Mountlake Terrace, 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 Feb 23, 2023; 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.