Active NPI
Ryan Griffin Bolding, CB61032862
- Clinical Social Worker
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61536317
- Practice address
- 9720 4TH Ave NE
Seattle, WA 98115-2143 - Phone
- (206) 302-1200
- Fax
- (877) 516-8135
- NPI assigned
- Feb 18, 2020
- Last updated
- Oct 23, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC6105316 | WA | |
| Clinical Social Worker | 1041C0700X | LW61536317 | WA | Primary |
| Behavior Technician | 106S00000X | CB61032862 | WA |
Addresses
Primary practice location
9720 4TH Ave NE
Seattle, WA 98115-2143
Mailing address
1730 22ND Ave Apt W409
Seattle, WA 98122-2981
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC6105316 | WA | MD | Clinical Social Worker |
| CB61032862 | WA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Mindful Therapy Group PC | Clinical | Current | Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients |
Locations
21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113
9800 4th Ave NE
Seattle, WA 98115
Phone (206) 302-1200
201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 378-4824
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
dba Mindful Therapy Group
- Clinical Social Worker
- Mountlake Terrace, WA
- NPI 1316238678
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1124264577
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792713600000",
"number": "1932732062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 22ND AVE APT W409",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9720 4TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152143",
"telephone_number": "206-302-1200",
"fax_number": "877-516-8135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLDING",
"first_name": "RYAN",
"middle_name": "GRIFFIN",
"credential": "CB61032862",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-18",
"last_updated": "2026-10-23",
"certification_date": "2026-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC6105316",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61536317",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB61032862",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "9720 4th Ave NE",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981152143",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.