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VICKERY LAURA RENDALL LSWAA
NPI 1295018927
Social Worker - Clinical in Seattle, WA

Active since September 20, 2011Opted out of Medicare · through Jul 3, 2028
1015 W NICKERSON ST, 226, SEATTLE, WA 98119(206) 909-2727 Get Directions Write a Review

NPPES record last updated: March 5, 2015. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Vickery Laura Rendall Lswaa NPPES

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

VICKERY LAURA RENDALL LSWAA (NPI 1295018927) is an individual clinical provider in Seattle, Washington, licensed in Washington (SA60296648) and active in the NPI registry since September 2011. She has opted out of Medicare through July 3, 2028.

NPPES Registry Identity

NPI1295018927
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVICKERY LAURA RENDALLCredential: LSWAA
Location Address1015 W NICKERSON ST, 226Seattle, WA 98119-1430
Mailing Address1015 W Nickerson St, 226Seattle, WA 98119-1430 · (206) 909-2727
Phone(206) 909-2727
Sole ProprietorNo
Enumeration DateSeptember 20, 2011
Last NPPES UpdateMarch 5, 2015
✔ NPI 1295018927 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 · SA60296648
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.
1015 W NICKERSON ST, Seattle, WA 98119
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

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Opted out of Medicare

Vickery Laura Rendall Lswaa 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 July 3, 2024 through July 3, 2028.

Opt-Out Effective DateJuly 3, 2024
Opt-Out In Effect ThroughJuly 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Vickery Rendall's NPI number?

The NPI number for Vickery Rendall is 1295018927. It was assigned to this individual provider in the NPPES registry on September 20, 2011.

Where is Vickery Rendall located?

Vickery Rendall practices at 1015 W Nickerson St 226, Seattle, WA 98119. The listed phone number is (206) 909-2727.

What is Vickery Rendall's specialty?

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

Is Vickery Rendall enrolled in Medicare?

No. Vickery Rendall has opted out of Medicare through July 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Vickery Rendall accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Vickery Rendall 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 Vickery Rendall was last updated on March 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.