Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Willard Elbert Edmondson Jr., LICSW

Individual provider Clinical Social Worker · NPI 1033265376

Mr. Willard Elbert Edmondson Jr., LICSW is a Clinical Social Worker in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
What do these letters mean?
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

613 19th Ave E Ste 102
Seattle, WA 98112-4075
Phone: (206) 322-5733
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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 LW00005212 (WA)

Record details

NPI number1033265376
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 27, 2007
Last updated in NPPESJanuary 3, 2011

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