Active NPI
Kennedys Place
- Social Worker
- Mukilteo, WA
National Provider Identifier
1962208520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.