Unknown Individual – Clinical Social Worker, NPI 1447234091

Unknown Individual is a healthcare provider. based in Renton, Washington. specializing in Clinical Social Worker. They hold a License No. LW00005525 (WA). The NPI Number for Unknown Individual is 1447234091

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1447234091
Phone
(425) 255-0203
Address
15 S GRADY WAY
Deactivation Date
25 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • Tamblyn Law, 15, South Grady Way, Renton, King County, Washington, 98057, United States

    RENTON, WA 980553209

    Phone: (425) 255-0203

    Type: Location

  • 18330, 112th Avenue Southeast, Benson Hill, Renton, King County, Washington, 98055, United States

    RENTON, WA 980557136

    Phone: (425) 255-0203

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98055)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1447234091 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Washington is Unknown Individual registered?
Use Renton, Washington as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

STEPHANIE L KER (LMHC)

Clinical Social Worker
4445, Talbot Road South, Renton, King County, Washington, 98055, United States
NPI: 1588603989
Home Depot Kitchen & Bathroom Refacing, 3600, Lind Avenue Southwest, Renton, King County, Washington, 98055, United States
NPI: 1073554671

MRS. SARAH DAWN DOWNER (LICSW)

Mental Health Counselor
18625, 173rd Way Southeast, The Parks, Renton, King County, Washington, 98058, United States
NPI: 1700800240
Tamblyn Law, 15, South Grady Way, Renton, King County, Washington, 98057, United States
NPI: 1982610523
PO BOX 1353
NPI: 1558467589
17534, Southeast 135th Street, East Renton Highlands, Renton, King County, Washington, 98059, United States
NPI: 1144318809

MS. MARGARET D. MCCULLOCH (MSW)

Clinical Social Worker
Evergreen Building, 15, South Grady Way, Renton, King County, Washington, 98057, United States
NPI: 1336215193

SANDIE LEISTIKO (MSW, MHP)

Clinical Social Worker
601 S Carr Rd Ste 100
NPI: 1336201730

TRISTA NICOLE MORTENSEN (MSW)

Clinical Social Worker
304 MAIN AVE S
NPI: 1720125636