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

Kelly Anguiano

Individual provider Clinical Social Worker · NPI 1184477887

Kelly Anguiano is a Clinical Social Worker in Everett, Washington. Qualified in 2021, 5 years ago. Practices with Providence Health and Services- Washington, a 526-clinician group and accepts Medicare assignment. Licensed in New York and Washington.

Years since qualifying
5
Licensed in
NY, WA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

11627 10th Ave W
Everett, WA 98204-5934
Phone: (425) 789-6404
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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 SWI.LW.61540207 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 113573 (NY)

Record details

NPI number1184477887
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2024
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Providence Health And Services- Washington — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Everett