Casey Ann Wishart, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60339743 Issued in WA

Practice address

1902 2ND Ave
208
Seattle, WA 98101-1155

Phone

(206) 956-9571

Fax

(206) 448-8495

NPI assigned

Jul 15, 2013

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1902247364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 2ND AVE",
            "address_2": "208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011155",
            "telephone_number": "206-956-9571",
            "fax_number": "206-448-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 2ND AVE",
            "address_2": "208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011155",
            "telephone_number": "206-956-9571",
            "fax_number": "206-448-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHART",
        "first_name": "CASEY",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60339743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Wise, MD
• Kendall Wisehart, PT, DPT, ATC
• Diana Barrett Wiseman, M.D.
• Katherine Wiseman, MA, CCC-SLP
• Merrell Thames Wiseman, M.D.
• Elana J Wishnie Wolfe, ARNP
• Janet Wisinger, LMHC, LPC, BCB, NCC
• Lacey Cassandra Wisniewska
• Bethany Lee Wisotzkey, M.D.
• Brent E Wisse, MD

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, 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 15, 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.