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MS. KATHLEEN LYNN ANDERSON LICSW
NPI 1316963309
Social Worker - Clinical in Bellevue, WA

Active since July 14, 2006Opted out of Medicare · through Apr 1, 2028
40 LAKE BELLEVUE, SUITE 100, BELLEVUE, WA 98005(425) 452-0905 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kathleen Lynn Anderson Licsw NPPES

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

MS. KATHLEEN LYNN ANDERSON LICSW (NPI 1316963309) is an individual clinical provider in Bellevue, Washington, licensed in Washington (LW00005412) and active in the NPI registry since July 2006. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1316963309
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KATHLEEN LYNN ANDERSONCredential: LICSW
Location Address40 LAKE BELLEVUE, SUITE 100Bellevue, WA 98005
Mailing Address40 Lake Bellevue, Suite 100Bellevue, WA 98005 · (425) 452-0905
Phone(425) 452-0905
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316963309 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 · LW00005412
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.
40 LAKE BELLEVUE, Bellevue, WA 98005
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Other Identifiers 4

OtherAN7451WA · Regence
Medicare UPINS30131
Other7444020WA · Aetna
Medicare ID-Type UnspecifiedAB12901WA

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

ⓘ

Opted out of Medicare

Ms. Kathleen Lynn Anderson 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 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 Kathleen Anderson's NPI number?

The NPI number for Kathleen Anderson is 1316963309. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Kathleen Anderson located?

Kathleen Anderson practices at 40 Lake Bellevue Suite 100, Bellevue, WA 98005. The listed phone number is (425) 452-0905.

What is Kathleen Anderson's specialty?

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

Is Kathleen Anderson enrolled in Medicare?

No. Kathleen Anderson has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kathleen Anderson accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Kathleen Anderson 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 Kathleen Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.