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: July 19, 2026.

  • Individual
  • Male
  • Social Worker
  • Clinical

About WILLARD EDMONDSON

This page provides the complete NPI Profile along with additional information for Willard Edmondson, a provider established in Seattle, Washington with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1033265376 assigned on January 2007. The practitioner's primary taxonomy code is 1041C0700X with license number LW00005212 (WA). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1033265376 Verify this NPI
Provider Name
MR. WILLARD ELBERT EDMONDSON JR. LICSW
Other Name
MR. EDDIE EDMONDSON LICSW
Other Name Type
Other Name (5)
Gender
Male
Entity Type
Individual
Location Address
613 19TH AVE E SUITE 102 SEATTLE, WA 98112
Location Phone
(206) 322-5733
Mailing Address
613 19TH AVE E SUITE 102 SEATTLE, WA 98112
Mailing Phone
(206) 322-5733
Is Sole Proprietor?
Yes
Enumeration Date
01-27-2007
Last Update Date
01-03-2011
Code Navigator

A clinical social worker like Willard Edmondson is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
LW00005212
License State
WA
Taxonomy Description
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.

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Mental Health)
613 19TH AVE E, SUITE 101A
SEATTLE, WA 98112
Internal Medicine
613 19TH AVE E, STE 201
SEATTLE, WA 98112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033265376, enumerated as an "individual" on January 27, 2007.

The provider is located at 613 19TH AVE E SUITE 102 SEATTLE, WA 98112 and the phone number is (206) 322-5733.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.