Individual provider Active NPI

Patricia Magnani, LICSW

  • Clinical Social Worker
  • Bellevue, WA
National Provider Identifier
1992151823
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60604568 Issued in WA
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

Updated by the provider on May 1, 2020

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 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

LicenseStateTypeSpecialty
LW60604568WAMDClinical 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.

Verify at the official NPI Registry.