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MR. DOUGLAS MARK WHALEN LICSW
NPI 1114593886
Social Worker - Clinical in Sammamish, WA

Active since June 02, 2021PECOS EnrolledAccepts Medicare Assignment
22620 SE 4TH ST STE 130, SAMMAMISH, WA 98074(855) 402-1364(425) 974-7861 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2025, Jun 2, 2021 (2 updates tracked since 2021).

About Mr. Douglas Mark Whalen Licsw NPPES

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

MR. DOUGLAS MARK WHALEN LICSW (NPI 1114593886) is an individual clinical provider in Sammamish, Washington, licensed in Washington (LW61657034) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114593886
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DOUGLAS MARK WHALENCredential: LICSW
Location Address22620 SE 4TH ST STE 130Sammamish, WA 98074-7375
Mailing Address22620 Se 4th St Ste 130Sammamish, WA 98074-7375 · (855) 402-1364 · Fax (425) 974-7861
Phone(855) 402-1364
Fax(425) 974-7861
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 2, 2021
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1114593886 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 · LW61657034
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.
22620 SE 4TH ST STE 130, Sammamish, WA 98074
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Other Identifiers 1

Medicaid2178499WA

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

Mr. Douglas Mark Whalen Licsw 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 ID8123507571
PECOS Enrollment IDI20260206000714
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 98074 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 4

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

MR. ALABA TOSIN KEHINDE
Nurse Practitioner (Psychiatric/Mental Health)
22620 SE 4TH ST STE 130
SAMMAMISH, WA 98074
King County (701) 226-9939
LINDSEY ROYAL HURT PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
22620 SE 4TH ST STE 130
SAMMAMISH, WA 98074
King County (425) 659-5313
STEPHANI WOLFE LICSW
Social Worker (Clinical)
22620 SE 4TH ST STE 130
SAMMAMISH, WA 98074
King County (253) 752-7320
BENJAMIN EARLE BARNES
Psychologist (Clinical)
22620 SE 4TH ST STE 130
SAMMAMISH, WA 98074
King County (425) 659-5313

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 Douglas Whalen's NPI number?

The NPI number for Douglas Whalen is 1114593886. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Douglas Whalen located?

Douglas Whalen practices at 22620 SE 4th St Ste 130, Sammamish, WA 98074. The listed phone number is (855) 402-1364.

What is Douglas Whalen's specialty?

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

Is Douglas Whalen enrolled in Medicare?

Yes. Douglas Whalen 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.

When was this NPI record last updated?

The NPPES record for Douglas Whalen was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.