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

REGINA A BLACKWOLF MSW, LICSW
NPI 1184777252
Social Worker - Clinical in Everett, WA

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment
12812 3RD AVE SE STE A, EVERETT, WA 98208(206) 375-7657(206) 319-5325 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Regina A Blackwolf Msw, Licsw NPPES

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

REGINA A BLACKWOLF MSW, LICSW (NPI 1184777252) is an individual clinical provider in Everett, Washington, licensed in Washington (LW60083962) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1184777252
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameREGINA A BLACKWOLFCredential: MSW, LICSW
Location Address12812 3RD AVE SE STE AEverett, WA 98208-6455
Mailing Address12812 3rd Ave Se Ste AEverett, WA 98208-6455 · (206) 375-7657 · Fax (206) 319-5325
Phone(206) 375-7657
Fax(206) 319-5325
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 19, 2007
Last NPPES UpdateMarch 3, 2023
NPPES CertifiedMarch 3, 2023
✔ NPI 1184777252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · LW60083962
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP00005962 (WA)
12812 3RD AVE SE STE A, Everett, WA 98208
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

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

Regina A Blackwolf Msw, 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 ID8325184922
PECOS Enrollment IDI20091013000411
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 98208 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 2

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

KERRI IRENE CODVILLE
Marriage & Family Therapist
12812 3RD AVE SE STE A
EVERETT, WA 98208
Snohomish County (425) 312-3904
APPROACHING AUTHENTICITY, PLLC
Community/Behavioral Health
12812 3RD AVE SE STE A
EVERETT, WA 98208
Snohomish County (206) 375-7657

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 Regina Blackwolf's NPI number?

The NPI number for Regina Blackwolf is 1184777252. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Regina Blackwolf located?

Regina Blackwolf practices at 12812 3rd Ave SE Ste A, Everett, WA 98208. The listed phone number is (206) 375-7657.

What is Regina Blackwolf's specialty?

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

Is Regina Blackwolf enrolled in Medicare?

Yes. Regina Blackwolf 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.

What insurance does Regina Blackwolf accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Regina Blackwolf 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 Regina Blackwolf was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.