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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1538561386

Kathryn Kong, MSW, LICSW, SUDP is an Addiction (Substance Use Disorder) Counselor in Burien, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014
Specialties on file
4
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

15811 Ambaum Blvd SW Ste 110
Burien, WA 98166-3071
Phone: (206) 242-8211
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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 LW61510155 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence CO61043208 (WA)
Counselor Taxonomy 101Y00000X · Licence SC61068036 (WA)

Record details

NPI number1538561386
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW , SUDP
Sole proprietorNo
NPI enumeratedSeptember 24, 2014
Last updated in NPPESJuly 31, 2024
Certification dateJuly 30, 2024

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