Pacific Institute of Family Dynamics, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004353 Issued in WA

Legal business name

PACIFIC INSTITUTE OF FAMILY DYNAMICS, INC.

Practice address

11416 Slater Ave NE
Suite 202B
Kirkland, WA 98033-8827

Phone

(425) 451-0314

Fax

(425) 822-8366

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Karen E Westerlund, LICSW

Title

Ownerpresident

Phone

(425) 451-0314

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942326780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11416 SLATER AVE NE",
            "address_2": "SUITE 202B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338827",
            "telephone_number": "425-451-0314",
            "fax_number": "425-822-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11416 SLATER AVE NE",
            "address_2": "SUITE 202B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338827",
            "telephone_number": "425-451-0314",
            "fax_number": "425-822-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC INSTITUTE OF FAMILY DYNAMICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTERLUND",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNERPRESIDENT",
        "authorized_official_telephone_number": "425-451-0314",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ryan G Padgett, M.D.
• Elizabeth Christine Padilla, BCBA

• Clinical Social Worker in Kirkland, WA
• Providers in Kirkland, 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 Aug 22, 2020; 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.