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ANDREA LEE DIELEMAN LICSW
NPI 1326523325
Social Worker - Clinical in Seattle, WA

Active since September 26, 2018Opted out of Medicare · through Jul 1, 2027
9800 4TH AVE NE, SEATTLE, WA 98115(206) 302-1200 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2021, Nov 21, 2018, Sep 26, 2018 (3 updates tracked since 2018).

About Andrea Lee Dieleman Licsw NPPES

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

ANDREA LEE DIELEMAN LICSW (NPI 1326523325) is an individual clinical provider in Seattle, Washington, licensed in Washington (LW60874880) and active in the NPI registry since September 2018. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1326523325
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANDREA LEE DIELEMANCredential: LICSW
Location Address9800 4TH AVE NESeattle, WA 98115-2152
Mailing Address9800 4th Ave NeSeattle, WA 98115-2158 · (206) 302-1200 · Fax (206) 302-1283
Phone(206) 302-1200
Sole ProprietorNo
Enumeration DateSeptember 26, 2018
Last NPPES UpdateApril 20, 20213 updates tracked since enumeration
NPPES CertifiedApril 20, 2021
✔ NPI 1326523325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WA · LW60874880✔ Licensed in IL · 149018068
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.
9800 4TH AVE NE, Seattle, WA 98115
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Other Identifiers 2

Other149018068IL · Licensed Clinical Social Worker
OtherLW60874880WA · Licsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Andrea Lee Dieleman 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 July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

SHANNON ALYSSA RIES PA-C
Physician Assistant
9800 4TH AVE NE
SEATTLE, WA 98115
King County (206) 302-1200
PAIGE HUSTEAD LAW
Social Worker (Clinical)
9800 4TH AVE NE
SEATTLE, WA 98115
King County (206) 302-1200
JANICE SIM PA-C
Physician Assistant
9800 4TH AVE NE
SEATTLE, WA 98115
King County (206) 302-1200
MRS. KAYLYN NICKOLE COLON LICSW, LCSW
Social Worker (Clinical)
9800 4TH AVE NE
SEATTLE, WA 98115
King County (206) 302-1200
YVONNE MARIE WAKE RPH
Pharmacist
9800 4TH AVE NE
SEATTLE, WA 98115
King County (206) 302-1337
JOSEPH E. KNIGHT M.D.
Family Medicine
9800 4TH AVE NE
SEATTLE, WA 98115
King County (206) 302-1300
DR. DIANA CHAU OD
Optometrist
9800 4TH AVE NE
SEATTLE, WA 98115
King County (206) 302-1200
DR. EDITH BURBANK LANG MD
Family Medicine
9800 4TH AVE NE
SEATTLE, WA 98115
King County (206) 302-1200

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 Andrea Dieleman's NPI number?

The NPI number for Andrea Dieleman is 1326523325. It was assigned to this individual provider in the NPPES registry on September 26, 2018.

Where is Andrea Dieleman located?

Andrea Dieleman practices at 9800 4th Ave NE, Seattle, WA 98115. The listed phone number is (206) 302-1200.

What is Andrea Dieleman's specialty?

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

Is Andrea Dieleman enrolled in Medicare?

No. Andrea Dieleman has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Andrea Dieleman accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Andrea Dieleman 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 Andrea Dieleman was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.