Michael Rediger Licsw Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004398 Issued in WA

Legal business name

MICHAEL REDIGER LICSW INC

Practice address

1904 3Rd Ave
Suite 630
Seattle, WA 98101-1126

Phone

(206) 931-4875

Fax

(206) 405-1774

NPI assigned

Dec 4, 2007

Last updated

Dec 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael J Rediger, LICSWNPI 1154546430

Title

President/Owner

Phone

(206) 931-4875

Specialties & licenses 1

Addresses

Locations

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.

• Michael Rediger, MSW

  • Clinical Social Worker
  • Seattle, WA
  • NPI 1154546430
  Authorized official Same address or phone

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1932381647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 3RD AVE",
            "address_2": "SUITE 630",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011126",
            "telephone_number": "206-931-4875",
            "fax_number": "206-405-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 3RD AVE",
            "address_2": "SUITE 630",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011126",
            "telephone_number": "206-931-4875",
            "fax_number": "206-405-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL REDIGER LICSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "REDIGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "206-931-4875",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lewis, DC Inc PS (Lewis Chirpractic Center)
• Michael M Siew DDS MD PLLC
• Michael Mohandeson, MD PS
• Michael O'. Weeks MD MSW PLLC
• Michael R Harris DDS PS
• Michael S Cho DDS PS (Union Bay Dental Care)
• Joshua B Michael, MD
• Louisa P. Michael, ARNP, DNP
• Mark C Michael, PHD, CGP
• Modupe Margaret Michael

• 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 Dec 4, 2007; 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.