1. Home
  2. Directory
  3. Washington
  4. Seattle
  5. Social Worker
  6. NPI Profile

MARY KATHRYN LAGERSTROM MSW, LICSW
NPI 1043706690
Social Worker - Clinical in Seattle, WA

Active since July 06, 2018
300 LENORA ST SUITE 795, SEATTLE, WA 98121(855) 455-4454(206) 649-4490 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2023, Jul 6, 2018 (2 updates tracked since 2018).

About Mary Kathryn Lagerstrom Msw, Licsw NPPES

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

MARY KATHRYN LAGERSTROM MSW, LICSW (NPI 1043706690) is an individual clinical provider in Seattle, Washington, licensed in Washington (LW61323093) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1043706690
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY KATHRYN LAGERSTROMCredential: MSW, LICSW
Location Address300 LENORA ST SUITE 795Seattle, WA 98121-9812
Mailing Address5101 E Berneil DrParadise Valley, AZ 85253-1545
Phone(855) 455-4454
Fax(206) 649-4490
Sole ProprietorNo
Enumeration DateJuly 6, 2018
Last NPPES UpdateFebruary 14, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2023
✔ NPI 1043706690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WA · LW61323093✔ Licensed in WA · SC60823056
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.
300 LENORA ST SUITE 795, Seattle, WA 98121
Open in Google Maps ↗

Other Names 1

Former Name (1)Mary Kathryn Davis

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 Mary Lagerstrom's NPI number?

The NPI number for Mary Lagerstrom is 1043706690. It was assigned to this individual provider in the NPPES registry on July 6, 2018. The provider is also known as Mary Kathryn Davis.

Where is Mary Lagerstrom located?

Mary Lagerstrom practices at 300 Lenora St Suite 795, Seattle, WA 98121. The listed phone number is (855) 455-4454.

What is Mary Lagerstrom'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 Mary Lagerstrom was last updated on February 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.