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

Michael Gwanjaye, LW61575358

Individual provider Clinical Social Worker · NPI 1013649698

Michael Gwanjaye, LW61575358 is a Clinical Social Worker in Mill Creek, Washington. Qualified in 2022, 4 years ago. Practices with Western Psychological and Counseling Services LLC, a 332-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2022
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Practice location Address checks out

14623 Main St Apt B203
Mill Creek, WA 98012-2013
Phone: (425) 948-7248
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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 LW61575358 (WA)

Record details

NPI number1013649698
Entity typeIndividual (Type 1)
GenderMale
Credentials LW61575358
Sole proprietorYes
NPI enumeratedJune 30, 2022
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address14623 Main St Apt B203, Mill Creek, WA 98012-2013

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Western Psychological And Counseling Services Llc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mill Creek