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

Nicolette Corella Moore Rutan, LSWAIC

Individual provider Clinical Social Worker · NPI 1427744556

Nicolette Corella Moore Rutan, LSWAIC is a Clinical Social Worker in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023

Practice location Address checks out

80 159th Pl NE
Bellevue, WA 98008-4415
Phone: (281) 620-9640
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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 SC61280235 (WA)

Record details

NPI number1427744556
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSWAIC
Sole proprietorNo
NPI enumeratedApril 12, 2023
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023

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