Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caritas Critical Case Management, LLC

Organization Registered Nurse · NPI 1659806032

Caritas Critical Case Management, LLC is a Registered Nurse in Issaquah, Washington. Licensed in New Jersey and Washington. Registered with an NPI since 2017.

Licensed in
NJ, WA
In the registry since
2017
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23205 SE Black Nugget Rd Apt J2
Issaquah, WA 98029-7326
Phone: (206) 207-9363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence 4219311 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence RN60625891 (WA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN60625891 (WA)

Record details

NPI number1659806032
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ebony Blackmom-Humphrey — Registered Nurse · (206) 207-9363
NPI enumeratedApril 24, 2017
Last updated in NPPESApril 24, 2017
Mailing address23205 Se Black Nugget Rd, Apt J2, Issaquah, WA 98029-7326

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