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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW00008708 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA STATE | LW00008708 | 01 |
| Street Address |
720 N 35TH ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98103-8816 |
| 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 |
| 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 |
| Find all providers in zip 98103 | ||||
| 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.