Individual provider Active NPI

Adryanna Seitz, LCSW

  • Clinical Social Worker
  • Seatac, WA
National Provider Identifier
1922652411
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWI.LW.70141441 Issued in WA
Practice address
4040 S 188TH St Ste 300
Seatac, WA 98188-5070
Phone
(206) 816-3253
NPI assigned
Aug 1, 2019
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Clinical Social Worker 1041C0700X SWI.LW.70141441 WA Primary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 34010255A

Addresses

Primary practice location

4040 S 188TH St Ste 300
Seatac, WA 98188-5070

Mailing address

1220 Boren Ave Apt 301
Seattle, WA 98101-2711
Phone (503) 840-4661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251104002146 NE Practitioner - Mental Health Counselor 1355706284 Reassigns benefits to 1 organization
I20251205001809 IA Practitioner - Clinical Social Worker 1355706284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3300 N 60TH St
BLDG C
Omaha, NE 68104-3402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4282NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Family Service Current Accepting new patients
Heartland Family Service Mental Health CurrentSince Oct 7, 2025 Accepting new patients
Heartland Family Service CurrentSince Oct 7, 2025 Accepting new patients
Heartland Family Service CurrentSince Oct 28, 2025 Accepting new patients
Cummins Behavioral Health Systems, Incorporated PastSince Nov 1, 2020 Accepting new patients

Locations

1515 Avenue J
Council Bluffs, IA 51501
Phone (712) 435-5350

3300 N 60th St
Bldg C
Omaha, NE 68104
Phone (402) 552-7459

2101 S 42nd St
Omaha, NE 68105

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1922652411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BOREN AVE APT 301",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012711",
            "telephone_number": "503-840-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 S 188TH ST STE 300",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981885070",
            "telephone_number": "206-816-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "ADRYANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.70141441",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "34010255A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seatac, WA

Sources for this page

Verify at the official NPI Registry.