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

Individual provider Clinical Social Worker · NPI 1548508708

Nathanial Odell Render, LICSW is a Clinical Social Worker in Mountlake Terrace, Washington. Qualified in 2008, 18 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
18
Licensed in
WA
In the registry since
2013
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

21907 64th Ave W Ste 200
Mountlake Terrace, WA 98043-6200
Phone: (425) 640-7009
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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 LW60284806 (WA)

Record details

NPI number1548508708
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 23, 2013
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022
Mailing address4801 Veterans Dr, Saint Cloud, MN 56303-2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mountlake Terrace