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

Individual provider Clinical Social Worker · NPI 1598549073

Katherine Aviva Wynn, LSWAIC is a Clinical Social Worker in Mercer Island, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

8015 SE 28th St
Mercer Island, WA 98040
Phone: (206) 236-1294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SC61553232 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1598549073
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSWAIC
Sole proprietorYes
NPI enumeratedAugust 24, 2023
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Other providers in Mercer Island