Village Witch Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VILLAGE WITCH THERAPY PLLC

Practice address

4741 Rainier Ave S
Seattle, WA 98118-1657

Phone

(206) 659-7588

Fax

(888) 796-4762

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Horizon Greene, LICSWNPI 1912204546

Title

Founder

Phone

(206) 659-7588

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Horizon Greene, LICSW

  • Clinical Social Worker
  • Bellevue, WA
  • NPI 1912204546
  NPD (past) Authorized official

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1982460952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181657",
            "telephone_number": "206-659-7588",
            "fax_number": "888-796-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181657",
            "telephone_number": "206-659-7588",
            "fax_number": "888-796-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE WITCH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "HORIZON",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "206-659-7588",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Luz Villa, MD
• Enrique Carlos Villacres, MD
• Maria Del Carmen Villafuerte Anguiano
• Village Integrative Care, P.S.
• Village Physical Therapy, LLC
• Vanessa Villaluz, CAA
• Amanda Sue Muyargas Villanueva, PTA
• Betzaida Villanueva
• Christopher Maith Villanueva, RPH
• Kharlajoy Villanueva

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, 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 Feb 26, 2024; 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.