| Kianna Alexandra Carter, | |
| 
					2517 Nw 65th St, Seattle, WA 98117-5835  | |
| (253) 345-0564 | |
| Not Available | 
| Full Name | Kianna Alexandra Carter | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 2517 Nw 65th St, Seattle, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437500543 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW61325107 (Washington) | Primary | 
| Entity Name | Multicare Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760  | 
| Entity Name | Mindful Therapy Group Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kianna Alexandra Carter, 1201 S Proctor St, Tacoma, WA 98405-2047 Ph: () -  | Kianna Alexandra Carter, 2517 Nw 65th St, Seattle, WA 98117-5835 Ph: (253) 345-0564  | 
Jacqueline M. Kim, LICSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359760, Seattle, WA 98104 Phone: 206-744-8511 Fax: 206-744-2032  | |
Kathryn Amanda Lidgard, LSWAIC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2100 24th Ave S Ste 260, Seattle, WA 98144 Phone: 206-715-6051  | |
Ms. Molly Grogan, LSWAIC CDPT  MHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Sw Holden St, Seattle, WA 98126 Phone: 206-933-7000  | |
Arianna Daniels,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4219 Sw Juneau St, Seattle, WA 98136 Phone: 301-356-1580  | |
Paige Hustead Law,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9800 4th Ave Ne, Seattle, WA 98115 Phone: 206-302-1200  | |
Tam T Bui, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1730 Minor Ave Ste 400, Seattle, WA 98101 Phone: 844-552-2734  | |
Mr. Michael H. Shaw, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1660 S Columbian Way, Seattle, WA 98108 Phone: 206-277-1176 Fax: 206-768-5227  |