NATHANIAL ODELL RENDER LICSW
NPI 1548508708
Social Worker - Clinical in Mountlake Terrace, WA
About Nathanial Odell Render Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHANIAL ODELL RENDER LICSW (NPI 1548508708) is an individual clinical provider in Mountlake Terrace, Washington, licensed in Washington (LW60284806) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nathanial Odell Render Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Nathanial Render reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mountlake Terrace, WA 98043
- Reassigned Medicare billing, Washington enrollment
- 777 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MOUNTLAKE TERRACE, WA 98043
MOUNTLAKE TERRACE, WA 98043
MOUNTLAKE TERRACE, WA 98043
MOUNTLAKE TERRACE, WA 98043
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 Nathanial Render's NPI number?
The NPI number for Nathanial Render is 1548508708. It was assigned to this individual provider in the NPPES registry on January 23, 2013.
Where is Nathanial Render located?
Nathanial Render practices at 21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043. The listed phone number is (425) 640-7009.
What is Nathanial Render's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Nathanial Render enrolled in Medicare?
Yes. Nathanial Render is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Nathanial Render's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathanial Render reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathanial Render's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nathanial Render accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Nathanial Render 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 Nathanial Render was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nathanial Odell Render, LICSW · NPI 1548508708
Clinical provider in Mountlake Terrace, Washington. Individual provider, active in the CMS NPPES registry since January 23, 2013.
## Identity
- **NPI:** 1548508708 (Entity type: Individual)
- **Enumerated:** January 23, 2013
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LW60284806 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 21907 64TH AVE W STE 200, Mountlake Terrace, WA 98043-6200
- **Phone:** (425) 640-7009
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mindful Therapy Group PC (NPI 1316238678, Mountlake Terrace, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** October 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1548508708) · Data from the CMS NPPES public registry.