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 1174744304

Providence Health & Services Washington is a Clinical Social Worker in Olympia, Washington. Works from 2 locations. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
7

Practice location Address checks out

525 Lilly Rd NE
Olympia, WA 98506
Phone: (360) 793-7230
Show map & directions

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

Additional practice locations (1)

  • 1018 Capitol Way S, Olympia, WA 98501-1212 — (360) 486-6508

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinical Social Worker Taxonomy 1041C0700X
Dermatology Physician Taxonomy 207N00000X
Adult Medicine Physician Taxonomy 207QA0505X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1174744304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Medical Group Southwest Washington; Providence Medical Group Southwest Washington
NPI enumeratedMay 2, 2007
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

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