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

Mary R Pederson, BA

Individual provider Social Worker · NPI 1306472873

Mary R Pederson, BA is a Social Worker in Spokane, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2020
Specialties on file
4
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

711 E 3rd Ave
Spokane, WA 99202-2211
Phone: (509) 838-4651
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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.70056120 (WA)
Social Worker Taxonomy 104100000X · Licence SWI.LW.70056120 (WA)
Counselor Taxonomy 101Y00000X · Licence CG61052785 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306472873
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorYes
NPI enumeratedMarch 17, 2020
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026

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