Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Nathan Ezzo

Individual provider Mental Health Counselor · NPI 1952646903

Nathan Ezzo is a Clinical Social Worker in Burien, Washington. Qualified in 2004, 22 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
22
Licensed in
WA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

839 SW 126th St
Burien, WA 98146-2752
Phone: (215) 692-3049
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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 LW60951940 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence SW124649

Record details

NPI number1952646903
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 3, 2012
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Mindful Therapy Group PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 646 clinicians in the practice; 12 are shown here.

Other providers in Burien