BJORN DALE
NPI 1053776146
Social Worker in Maple Valley, WA

Active since December 16, 2015PECOS EnrolledAccepts Medicare Assignment
21112 SE 278TH PL, MAPLE VALLEY, WA 98038(425) 494-9163 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 8, 2024, Jun 7, 2022, Dec 16, 2015 (3 updates tracked since 2015).

About Bjorn Dale NPPES

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

BJORN DALE (NPI 1053776146) is an individual social worker in Maple Valley, Washington, licensed in Washington (LW60940272) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053776146
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameBJORN DALE
Location Address21112 SE 278TH PLMaple Valley, WA 98038-3114
Mailing Address21112 Se 278th PlMaple Valley, WA 98038-3114
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 16, 2015
Last NPPES UpdateMay 8, 20243 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1053776146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in WA · LW60940272
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
21112 SE 278TH PL, Maple Valley, WA 98038

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bjorn Dale 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 ID244665750
PECOS Enrollment IDI20200127000916
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.

Medicare Billing Reassignment

Medicare enrollment records show Bjorn Dale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
16000 CHRISTENSEN RD STE 200
Tukwila, WA 98188
  • Reassigned Medicare billing, Washington enrollment
  • 43 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bjorn Dale's NPI number?

The NPI number for Bjorn Dale is 1053776146. It was assigned to this individual provider in the NPPES registry on December 16, 2015.

Where is Bjorn Dale located?

Bjorn Dale practices at 21112 SE 278th Pl, Maple Valley, WA 98038. The listed phone number is (425) 494-9163.

What is Bjorn Dale's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Bjorn Dale enrolled in Medicare?

Yes. Bjorn Dale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Bjorn Dale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bjorn Dale reassigns Medicare benefits to Harbor Youth And Family Counseling (Tukwila, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bjorn Dale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bjorn Dale accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Bjorn Dale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bjorn Dale was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.