MR. CHARLES OWEN BARTLETT IV MSW LICSW
NPI 1194021550
Social Worker - Clinical in Mill Creek, WA

Active since February 02, 2011Opted out of Medicare · through Nov 17, 2027
16000 BOTHELL EVERETT HWY, 360, MILL CREEK, WA 98012(425) 357-9111 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Charles Owen Bartlett Iv Msw Licsw NPPES

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

MR. CHARLES OWEN BARTLETT IV MSW LICSW (NPI 1194021550) is an individual clinical provider in Mill Creek, Washington, licensed in Washington (603077273) and active in the NPI registry since February 2011. He has opted out of Medicare through November 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194021550
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. CHARLES OWEN BARTLETT IVCredential: MSW LICSW
Location Address16000 BOTHELL EVERETT HWY, 360Mill Creek, WA 98012-1742
Mailing Address2530 Ne 203rd StShoreline, WA 98155-1422 · (206) 300-3889
Sole ProprietorYes
Enumeration DateFebruary 2, 2011
NPI 1194021550 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 · 603077273
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.
16000 BOTHELL EVERETT HWY, Mill Creek, WA 98012

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. Charles Owen Bartlett Iv Msw Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 17, 2017 through November 17, 2027.

Opt-Out Effective DateNovember 17, 2017
Opt-Out In Effect ThroughNovember 17, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98012 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 17

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

Social Worker (Clinical)
16000 BOTHELL EVERETT HWY, SUITE 360
MILL CREEK, WA 98012
Marriage & Family Therapist
16000 BOTHELL EVERETT HWY
MILL CREEK, WA 98012
Counselor (Mental Health)
16000 BOTHELL EVERETT HWY, 240
MILL CREEK, WA 98012
Psychologist (Clinical Child & Adolescent)
16000 BOTHELL EVERETT HWY, SUITE 230
MILL CREEK, WA 98012
Psychologist (Clinical Child & Adolescent)
16000 BOTHELL EVERETT HWY, SUITE 200
MILL CREEK, WA 98012
Marriage & Family Therapist
16000 BOTHELL EVERETT HWY
MILL CREEK, WA 98012
Psychologist
16000 BOTHELL EVERETT HWY, SUITE 230
MILL CREEK, WA 98012
Psychologist (Clinical)
16000 BOTHELL EVERETT HWY, SUITE 360
MILL CREEK, WA 98012

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 Charles Bartlett's NPI number?

The NPI number for Charles Bartlett is 1194021550. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Where is Charles Bartlett located?

Charles Bartlett practices at 16000 Bothell Everett Hwy 360, Mill Creek, WA 98012. The listed phone number is (425) 357-9111.

What is Charles Bartlett's specialty?

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

Is Charles Bartlett enrolled in Medicare?

No. Charles Bartlett has opted out of Medicare through November 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Charles Bartlett was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.