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

Kathryn Amanda Lidgard, LSWAIC

Individual provider Clinical Social Worker · NPI 1003326646

Kathryn Amanda Lidgard, LSWAIC is a Clinical Social Worker in Seattle, Washington. Qualified in 2019, 7 years ago. Practices with Providence Health and Services- Washington, a 526-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2100 24th Ave S Ste 260
Seattle, WA 98144-4644
Phone: (206) 715-6051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5715 S Broadway, Los Angeles, CA 90037-4131 — (323) 948-0444
  • 19401 S Vermont Ave Ste A200, Torrance, CA 90502 — (310) 323-6887

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SC60970292 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003326646
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSWAIC
Sole proprietorNo
NPI enumeratedOctober 10, 2017
Last updated in NPPESAugust 5, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Providence Health And Services- Washington — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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