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MR. WILLARD ELBERT EDMONDSON JR. LICSW
NPI 1033265376
Social Worker - Clinical in Seattle, WA

Active since January 27, 2007
613 19TH AVE E, SUITE 102, SEATTLE, WA 98112(206) 322-5733 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Willard Elbert Edmondson Jr. Licsw NPPES

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

MR. WILLARD ELBERT EDMONDSON JR. LICSW (NPI 1033265376) is an individual clinical provider in Seattle, Washington, licensed in Washington (LW00005212) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1033265376
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. WILLARD ELBERT EDMONDSON JR.Credential: LICSW
Location Address613 19TH AVE E, SUITE 102Seattle, WA 98112-4075
Mailing Address613 19th Ave E, Suite 102Seattle, WA 98112-4075 · (206) 322-5733
Phone(206) 322-5733
Sole ProprietorYes
Enumeration DateJanuary 27, 2007
Last NPPES UpdateJanuary 3, 2011
✔ NPI 1033265376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · LW00005212
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.
613 19TH AVE E, Seattle, WA 98112
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Other Names 1

Other Name (5)Mr. Eddie Edmondson Licsw

Other Providers at the Same Location NPPES 2

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

WISE PATIENT INTERNAL MEDICINE
Internal Medicine
613 19TH AVE E, STE 201
SEATTLE, WA 98112
King County (206) 437-2884
DWIGHT EDWARD RANDOLPH LMHC
Counselor (Mental Health)
613 19TH AVE E, SUITE 101A
SEATTLE, WA 98112
King County (206) 465-1051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willard Edmondson's NPI number?

The NPI number for Willard Edmondson is 1033265376. It was assigned to this individual provider in the NPPES registry on January 27, 2007. The provider is also known as Mr. Eddie Edmondson Licsw.

Where is Willard Edmondson located?

Willard Edmondson practices at 613 19th Ave E Suite 102, Seattle, WA 98112. The listed phone number is (206) 322-5733.

What is Willard Edmondson's specialty?

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

When was this NPI record last updated?

The NPPES record for Willard Edmondson was last updated on January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.