Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY R PEDERSON BA
NPI 1306472873
Social Worker - Clinical in Spokane, WA

Active since March 17, 2020
711 E 3RD AVE, SPOKANE, WA 99202(509) 838-4651 Get Directions Write a Review

NPPES record last updated: August 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2026, Apr 8, 2021, Mar 17, 2020 (3 updates tracked since 2020).

About Mary R Pederson Ba NPPES

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

MARY R PEDERSON BA (NPI 1306472873) is an individual clinical provider in Spokane, Washington, licensed in Washington (SWI.LW.70056120) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1306472873
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY R PEDERSONCredential: BA
Location Address711 E 3RD AVESpokane, WA 99202-2211
Mailing Address107 S Division StSpokane, WA 99202-1510 · (509) 838-4651
Sole ProprietorYes
Enumeration DateMarch 17, 2020
Last NPPES UpdateAugust 1, 20263 updates tracked since enumeration
NPPES CertifiedAugust 1, 2026
NPI 1306472873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WA · SWI.LW.70056120
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 ListedCounselorTaxonomy 101Y00000X · License CG61052785 (WA)
Also ListedSocial WorkerTaxonomy 104100000X · License SWI.LW.70056120 (WA)
711 E 3RD AVE, Spokane, WA 99202

Other Providers at the Same Location NPPES 20

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

Counselor
711 E 3RD AVE
SPOKANE, WA 99202
Counselor
711 E 3RD AVE
SPOKANE, WA 99202
Counselor (Mental Health)
711 E 3RD AVE
SPOKANE, WA 99202
Counselor
711 E 3RD AVE
SPOKANE, WA 99202
Social Worker
711 E 3RD AVE
SPOKANE, WA 99202
Counselor
711 E 3RD AVE
SPOKANE, WA 99202
Counselor
711 E 3RD AVE
SPOKANE, WA 99202
Counselor
711 E 3RD AVE
SPOKANE, WA 99202

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 Mary Pederson's NPI number?

The NPI number for Mary Pederson is 1306472873. It was assigned to this individual provider in the NPPES registry on March 17, 2020.

Where is Mary Pederson located?

Mary Pederson practices at 711 E 3rd Ave, Spokane, WA 99202. The listed phone number is (509) 838-4651.

What is Mary Pederson's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Pederson was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.