Individual provider Active NPI

Donna Bevan-Lee, MSW, PHD

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1972758795
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00004898 Issued in WA
Practice address
4315 SW Stevens St
Seattle, WA 98116-2432
Phone
(206) 935-1484
NPI assigned
Nov 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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 LW00004898 WA Primary

Addresses

Primary practice location

4315 SW Stevens St
Seattle, WA 98116-2432

Mailing address

4315 SW Stevens St
Seattle, WA 98116-2432
Phone (206) 935-1484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LW00004898WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1972758795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 SW STEVENS ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162432",
            "telephone_number": "206-935-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 SW STEVENS ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162432",
            "telephone_number": "206-935-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVAN-LEE",
        "first_name": "DONNA",
        "name_prefix": "Dr.",
        "credential": "MSW, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 20, 2008; 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.