Active NPI
Christine Daverio, LCSW
- Clinical Social Worker
- Mill Creek, WA
National Provider Identifier
1891860151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00005863
- Practice address
- 16000 Bothell Everett Hwy
Ste 166
Mill Creek, WA 98012-1514 - Phone
- (425) 357-9100
- Fax
- (425) 357-9100
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW00005863 | WA | Primary |
Addresses
Primary practice location
16000 Bothell Everett Hwy
Ste 166
Mill Creek, WA 98012-1514
Mailing address
16000 Bothell Everett Hwy.
Suite 200
Mill Creek, WA 98012
Phone (425) 357-9100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1918 | WA | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518134400000",
"number": "1891860151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16000 BOTHELL EVERETT HWY.",
"address_2": "SUITE 200",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "98012",
"telephone_number": "425-357-9100",
"fax_number": "425-357-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 BOTHELL EVERETT HWY",
"address_2": "STE 166",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980121514",
"telephone_number": "425-357-9100",
"fax_number": "425-357-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVERIO",
"first_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2018-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00005863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.