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

Samira Abdillahi Omar, LICSW

Individual provider Social Worker · NPI 1770170763

Samira Abdillahi Omar, LICSW is a Clinical Social Worker in Seattle, Washington. Qualified in 2017, 9 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2020
Specialties on file
3
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

1600 S Columbian Way
Seattle, WA 98108-1565
Phone: (206) 762-2394
Fax: (206) 973-8677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 N Howard St Ste R, Spokane, WA 99201-0508 — (425) 608-2645

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW70050243 (WA)
Social Worker Taxonomy 104100000X · Licence SA61113966 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence SC61453125 (WA)

Record details

NPI number1770170763
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 24, 2020
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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