KIMBERLY PENDERGRASS (NPI# 1598015950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598015950 |
| Entity Type | Individual |
| Full Name | KIMBERLY PENDERGRASS |
| Credential | LICSW |
| Practice Address |
2600 S. W. Holden Street Seattle WA 98126 |
| Practice Telephone | 2069337000 |
| Mailing Telephone | 2069337000 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60098294 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821358847 | Kimberly Nicole Pendergrass | Speech-Language Pathologist | 112 Westshire Pl, Columbia, SC 29210-4663 | 2012-05-23 |
| Street Address |
2600 S. W. HOLDEN STREET |
| City | SEATTLE |
| State | WA |
| Zip Code | 98126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926341 | Andre L Cherry | Counselor | Navos - West Seattle, 2600 Sw Holden St, Seattle, WA 98126 | 2019-11-07 |
| 1477071314 | Hailey Justine Long | Registered Nurse | 5444 29th Ave Sw, Seattle, WA 98126 | 2017-08-30 |
| 1952824153 | Margaret Jane Oliver | Behavior Technician | 7942 29th Ave Sw, Seattle, WA 98126 | 2017-07-19 |
| 1538610282 | Kathleen Unterreiner Licsw | Community/Behavioral Health | 3261 Sw Avalon Way, Apt 411, Seattle, WA 98126 | 2016-10-18 |
| 1689123507 | Omotade Adeola Mallum | Occupational Therapy Assistant | 9408 35th Ave Sw, Unit B, Seattle, WA 98126 | 2016-10-04 |
| 1598211732 | Christopher Shawn Osler | Physical Therapy Assistant | 7346 32nd Ave Sw, Seattle, WA 98126 | 2016-08-28 |
| 1871989368 | Sara Lynne Smith | Counselor | 5225 35th Avenue South West, Seattle, WA 98126 | 2015-04-10 |
| 1689083032 | Kristine Ellyn Highlander | Nurse Practitioner | 2600 Sw Holden St., Navos Inpatient Services, Seattle, WA 98126 | 2014-08-11 |
| 1346657814 | Buu Bui | Family Medicine | 4550 Fauntleroy Way Sw # Ms 206-01, Seattle, WA 98126 | 2014-07-16 |
| 1447505698 | Theresa A. Night | Physical Therapist | 3743 Sw Sullivan St, Seattle, WA 98126 | 2012-07-13 |
| Find all providers in zip 98126 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011609 | Caroline A Lanza | Social Worker | 13035 39th Ave Ne, Seattle, WA 98125-4613 | 2020-10-24 |
| 1730787540 | Regina Yeh | Social Worker | 5011b 44th Ave Ne, Seattle, WA 98105-2909 | 2020-10-14 |
| 1447864889 | Noah Starer | Social Worker | 3719 S Angeline St Apt 2, Seattle, WA 98118-1761 | 2020-09-02 |
| 1073123733 | Namkung Counseling | Social Worker | 2611 Ne 125th St Ste 116, Seattle, WA 98125-4374 | 2020-08-06 |
| 1912515503 | Madeline Cody Ritter | Social Worker | 1818 E Madison St Apt 407, Seattle, WA 98122-3184 | 2020-07-20 |
| 1679191761 | Sarah Louise Gossman Davis | Social Worker | 2100 Westlake Ave N Ste 201, Seattle, WA 98109-5802 | 2020-07-06 |
| 1184249021 | Jennifer J Moyer-taylor | Social Worker | 13532 15th Pl Ne, Seattle, WA 98125-3202 | 2020-06-16 |
| 1528682440 | Perinatal Support Washington | Social Worker | 2319 N 45th St Ste 303, Seattle, WA 98103-6979 | 2020-06-05 |
| 1063033678 | Kate Brickell | Social Worker | 2524 16th Ave S # 305, Seattle, WA 98144-5104 | 2020-05-05 |
| 1710507439 | Sara Miller Brown | Social Worker | 905 Dexter Ave N Apt L100, Seattle, WA 98109-3891 | 2020-04-22 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.