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

Individual provider Mental Health Counselor · NPI 1942612494

Ethan McCormack, LICSW is a Mental Health Counselor in Seattle, Washington. Licensed in Michigan and Washington. Registered with an NPI since 2014.

Licensed in
MI, WA
In the registry since
2014
Specialties on file
4
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

4540 Sand Point Way NE Ste 200
Seattle, WA 98105-3941
Phone: (206) 987-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LW60626693 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6801094378 (MI)
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X · Licence LW60626693 (WA)

Record details

NPI number1942612494
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 2, 2014
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 28, 2022

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