KATHRYN AMANDA LIDGARD LSWAIC
NPI 1003326646
Social Worker - Clinical in Seattle, WA

Q: What is Kathryn Lidgard's NPI number?

The NPI number for Kathryn Lidgard is 1003326646. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Q: What is Kathryn Lidgard's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Lidgard was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 10, 2017PECOS EnrolledAccepts Medicare Assignment

2100 24TH AVE S STE 260, SEATTLE, WA 98144(206) 715-6051 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2019, Aug 24, 2018, Oct 10, 2017 (3 updates tracked since 2017).

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About Kathryn Amanda Lidgard Lswaic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN AMANDA LIDGARD LSWAIC (NPI 1003326646) is an individual clinical provider in Seattle, Washington, licensed in Washington (SC60970292) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1003326646

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATHRYN AMANDA LIDGARDCredential: LSWAIC

Location Address2100 24TH AVE S STE 260Seattle, WA 98144-4644

Mailing Address2100 24th Ave S Ste 260Seattle, WA 98144-4644 · (206) 715-6051

Phone(206) 715-6051

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 10, 2017

Last NPPES UpdateAugust 5, 20193 updates tracked since enumeration

✔ NPI 1003326646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WA · SC60970292

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2100 24TH AVE S STE 260, Seattle, WA 98144

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Secondary Practice Locations 2

Location 15715 S BroadwayLos Angeles, CA 90037-4131 · Phone (323) 948-0444 · Fax (323) 948-0443

Location 219401 S Vermont Ave Ste A200Torrance, CA 90502 · Phone (310) 323-6887

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathryn Amanda Lidgard Lswaic is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42683955

PECOS Enrollment IDI20230223001878

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $63.67 – $189.37

Typical copayment $0.00 (range $15.91 – $47.34)

Most-billed visit code NA

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN HANNAH

Counselor