NPIMap

Organization Active NPI

Katharine Dickinson Licsw

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1912780750
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KATHARINE DICKINSON LICSW
Doing business as
Katharine Dickinson LICSW
Practice address
12128 N Division St PMB 2012
Spokane, WA 99218-7262
Phone
(509) 731-4809
NPI assigned
Aug 16, 2023
Last updated
Aug 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Katharine DickinsonNPI 1215467071
Title
Owner
Phone
(509) 800-7121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

12128 N Division St PMB 2012
Spokane, WA 99218-7262

Mailing address

3327 E Montgomery Ave
Spokane, WA 99217
Phone (509) 220-5939

Other identifiers 1

IdentifierTypeStateIssuer
1215467071MedicaidWA

Other names 1

  • Katharine Dickinson LICSW Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1912780750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 E MONTGOMERY AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99217",
            "telephone_number": "509-220-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12128 N DIVISION ST PMB 2012",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992187262",
            "telephone_number": "509-731-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHARINE DICKINSON LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-19",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-800-7121"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215467071",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katharine Dickinson LICSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Katharine Dickinson LICSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.