Organization Active NPI

Kennedys Place

  • Social Worker
  • Mukilteo, WA
National Provider Identifier
1962208520
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
KENNEDYS PLACE
Practice address
1006 8TH St
Mukilteo, WA 98275-2011
Phone
(425) 210-3790
NPI assigned
Feb 24, 2025
Last updated
Feb 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Lynn Marie Zielasko
Title
Ceo
Phone
(425) 210-3790

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary
Dietary Manager 132700000X NU
Nutrition Education Nutritionist 133NN1002X NU
Lodging Provider 177F00000X NU
Case Management Agency 251B00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X NU
Home Health Agency 251E00000X NU
Public Health or Welfare Agency 251K00000X NU
Substance Abuse Rehabilitation Facility 324500000X NU
Early Intervention Provider Agency 252Y00000X NU
In Home Supportive Care Agency 253Z00000X NU
Local Education Agency (LEA) 251300000X NU
Meals Provider 174200000X NU
Community/Behavioral Health Agency 251S00000X NU
Health & Wellness Coach 171400000X NU

Addresses

Primary practice location

1006 8TH St
Mukilteo, WA 98275-2011

Mailing address

1027 State Ave Ste 102
Marysville, WA 98270-4278
Phone (425) 210-3790

Other practice location 1

1112 Cherry Ave
Yakima, WA 98902-2002
Phone (425) 210-3790

Other practice location 2

1110 Cherry Ave
Yakima, WA 98902-2002
Phone (425) 210-3790

Other practice location 3

804 W Viola Ave
Yakima, WA 98902-5531
Phone (425) 210-3790

Other practice location 4

2017 Colby Ave
Everett, WA 98201-2233
Phone (425) 210-3790

Other names 1

  • LTZ Capitol LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

2017 Colby Ave
Everett, WA 98201
Phone (425) 210-3790

1027 State Ave
Ste 102
Marysville, WA 98270

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1962208520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 STATE AVE STE 102",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704278",
            "telephone_number": "425-210-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 8TH ST",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982752011",
            "telephone_number": "425-210-3790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 Cherry Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989022002",
            "country_code": "US",
            "telephone_number": "425-210-3790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Cherry Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989022002",
            "country_code": "US",
            "telephone_number": "425-210-3790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "804 W Viola Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989025531",
            "country_code": "US",
            "telephone_number": "425-210-3790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2017 Colby Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982012233",
            "country_code": "US",
            "telephone_number": "425-210-3790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENNEDYS PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "ZIELASKO",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-210-3790"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LTZ Capitol LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mukilteo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.