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

Providence Health & Services- Washington

Organization Clinical Social Worker · NPI 1124270715

Providence Health & Services- Washington is a Clinical Social Worker in Everett, Washington. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
3

Practice location Address checks out

900 Pacific Ave Ste 501
Everett, WA 98201-4168
Phone: (425) 258-7550
Fax: (425) 258-7450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Clinical Social Worker Taxonomy 1041C0700X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1124270715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Pmg Nw Wa; Pmg Nw Wa; Providence Medical Group Northwest Washington
NPI enumeratedOctober 15, 2008
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

Other providers in Everett