Individual provider Active NPI

Matthew Michael Nordin, LICSW

  • Clinical Social Worker
  • Renton, WA
National Provider Identifier
1952886335
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61253437 Issued in WA
Practice address
4445 Talbot Rd S
Renton, WA 98055-6219
Phone
(425) 690-3414
Fax
(425) 690-9414
NPI assigned
Oct 1, 2018
Last updated
Apr 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW61253437 WA Primary

Addresses

Primary practice location

4445 Talbot Rd S
Renton, WA 98055-6219

Mailing address

4445 Talbot Rd S
Renton, WA 98055-6219
Phone (425) 690-3414

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260402003045 WA Practitioner - Clinical Social Worker 8921583394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

Practice addresses (Care Compare)

4445 Talbot Rd S
Renton, WA 98055-6219
Phone (425) 656-4055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW61253437WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Mountain Therapy PLLC Clinical CurrentSince Oct 27, 2024 Accepting new patients

Locations

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

1752 NW Market St
Seattle, WA 98107
Phone (206) 402-6628

1817 Queen Anne Ave N
Ste 202
Seattle, WA 98109
Phone (206) 282-0286

2120 1st Ave N
Ste B5
Seattle, WA 98109

Organizations & group practices 2

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": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1952886335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 TALBOT RD S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556219",
            "telephone_number": "425-690-3414",
            "fax_number": "425-690-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 TALBOT RD S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556219",
            "telephone_number": "425-690-3414",
            "fax_number": "425-690-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDIN",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-01",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61253437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.