1. Home
  2. Directory
  3. Washington
  4. Vashon
  5. Social Worker
  6. NPI Profile

KATHLEEN M. CHANDLER LICSW
NPI 1407545619
Social Worker - Clinical in Vashon, WA

Active since May 03, 2023Opted out of Medicare · through Dec 17, 2026
16305 CRESCENT DR SW, VASHON, WA 98070(206) 787-0178 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2024, May 3, 2023 (2 updates tracked since 2023).

About Kathleen M. Chandler Licsw NPPES

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

KATHLEEN M. CHANDLER LICSW (NPI 1407545619) is an individual clinical provider in Vashon, Washington, licensed in Washington (61417949) and active in the NPI registry since May 2023. She has opted out of Medicare through December 17, 2026.

NPPES Registry Identity

NPI1407545619
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN M. CHANDLERCredential: LICSW
Location Address16305 CRESCENT DR SWVashon, WA 98070-3742
Mailing Address16305 Crescent Dr SwVashon, WA 98070-3742 · (206) 787-0178
Phone(206) 787-0178
Sole ProprietorYes
Enumeration DateMay 3, 2023
Last NPPES UpdateDecember 20, 20242 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
✔ NPI 1407545619 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 · 61417949
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.
16305 CRESCENT DR SW, Vashon, WA 98070
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kathleen M. Chandler 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 December 17, 2024 through December 17, 2026.

Opt-Out Effective DateDecember 17, 2024
Opt-Out In Effect ThroughDecember 17, 2026Opt-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 Chandler's NPI number?

The NPI number for Kathleen Chandler is 1407545619. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Where is Kathleen Chandler located?

Kathleen Chandler practices at 16305 Crescent Dr SW, Vashon, WA 98070. The listed phone number is (206) 787-0178.

What is Kathleen Chandler's specialty?

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

Is Kathleen Chandler enrolled in Medicare?

No. Kathleen Chandler has opted out of Medicare through December 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kathleen Chandler was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.