Active NPI
Patricia Magnani, LICSW
- Clinical Social Worker
- Bellevue, WA
National Provider Identifier
1992151823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60604568
- Practice address
- 4315 Factoria Blvd SE Ste B
Bellevue, WA 98006-1903 - Phone
- (425) 586-0370
- NPI assigned
- May 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW60604568 | WA | Primary |
Addresses
Primary practice location
4315 Factoria Blvd SE Ste B
Bellevue, WA 98006-1903
Mailing address
PO Box 52703
Bellevue, WA 98015-2703
Phone (425) 444-7187
Other practice location 1
1603 116th Ave NE
Suite 114
Bellevue, WA 98004-3009
Phone (425) 444-7187
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60604568 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1992151823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52703",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980152703",
"telephone_number": "425-444-7187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 FACTORIA BLVD SE STE B",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061903",
"telephone_number": "425-586-0370"
}
],
"practiceLocations": [
{
"address_1": "1603 116th Ave NE",
"address_2": "Suite 114",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980043009",
"country_code": "US",
"telephone_number": "425-444-7187",
"fax_number": "425-453-6377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGNANI",
"first_name": "PATRICIA",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-10",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60604568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.