ELLA IDIL INDRA


Address: 720 N 35th St, Seattle, WA 98103-8816
Phone: 2063513831

ELLA IDIL INDRA (NPI# 1639515117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639515117
Entity Type Individual
Full Name ELLA IDIL INDRA
Credential LICSW
Practice Address 720 N 35th St
Seattle
WA 98103-8816
Mailing Address 8302 26th Ave Nw
Seattle
WA 98117-4447
Practice Telephone 2063513831
Mailing Telephone 2063513831
Enumeration Date 2013-05-11
Last Update Date 2013-05-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
LW00008708 WA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA WA STATE LW00008708 01

Office Location

Street Address 720 N 35TH ST
City SEATTLE
State WA
Zip Code 98103-8816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104862812 Julie Jacobs Inc Physical Therapist 720 N 35th St, Ste 201, Seattle, WA 98103 2006-06-21
1891191458 Kristina Cook Counselor 720 N 35th St, Seattle, WA 98103-8816 2014-11-10
1861800922 David Melman Massage Therapist 720 N 35th St, Suite 201, Seattle, WA 98103-8816 2014-07-31
1285060723 Doreen Charlotte Gaffney Counselor 720 N 35th St, Seattle, WA 98103-8816 2013-09-16
1346589926 Corrina Lea Skildum Counselor 720 N 35th St, Seattle, WA 98103-8816 2013-02-02
1003190695 Stacia Anne Valley Mechanotherapist 720 N 35th St, Seattle, WA 98103-8816 2011-09-30
1588964506 Lauren Kayda Massage Therapist 720 N 35th St, #202, Seattle, WA 98103-8816 2010-10-25
1891011243 Cynthia L Spencer Massage Therapist 720 N 35th St, Seattle, WA 98103-8816 2010-04-09
1487801270 Manita Terenia Holtrop Massage Therapist 720 N 35th St, Seattle, WA 98103-8816 2008-08-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235743949 Amy Lindsey Naturopath 3670 Stone Way North, Seattle, WA 98103 2020-09-01
1073153748 Eric Vincent Currier Specialist 7218 Linden Ave. N., Seattle, WA 98103 2020-01-10
1235770512 Donna Dianne Campbell Technician 748 N 95th St #202, Seattle, WA 98103 2019-10-08
1841844529 Devin Bard Counselor 819 N 49th St, Suite 229, Seattle, WA 98103 2019-07-30
1811453343 Matkel Corporation Massage Therapist 4459 Fremont Ave N Ste 2, Seattle, WA 98103 2019-02-20
1063980381 Dennis Gordon Grove Counselor 701 N 36th St, Ste 300, Seattle, WA 98103 2018-11-05
1962994681 Taja Estrada Psychologist 7222 Linden Avenue N, Suite A, Seattle, WA 98103 2018-05-30
1073015129 Kelly A Robison Massage Therapist 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 2018-03-05
1609387927 Andrew Rogers Counselor 1307 North 45th Street, Suite 200, Seattle, WA 98103 2017-10-13
1720513096 Fedora Katz Dentist 2108 N Pacific Street Ap 203, Seattle, WA 98103 2017-04-25
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City SEATTLE
Zip Code 98103

Improve Information

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Dataset Information

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.

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