KELLEY NELSON WHITTY SANDAKER SUDP
NPI 1588080063
Counselor - Addiction (Substance Use Disorder) in Seattle, WA

Active since March 08, 2014
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144(206) 774-2461(206) 695-7606 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelley Nelson Whitty Sandaker Sudp NPPES

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

KELLEY NELSON WHITTY SANDAKER SUDP (NPI 1588080063) is an individual addiction (substance use disorder) provider in Seattle, Washington, licensed in Washington (CO60367121) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1588080063
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKELLEY NELSON WHITTY SANDAKERCredential: SUDP
Location Address3639 MARTIN LUTHER KING JR WAY SSeattle, WA 98144-6847
Mailing Address3639 Martin Luther King Jr Way SSeattle, WA 98144-6847 · (206) 774-2461 · Fax (206) 695-7606
Fax(206) 695-7606
Sole ProprietorNo
Enumeration DateMarch 8, 2014
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
NPI 1588080063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CO60367121
3639 MARTIN LUTHER KING JR WAY S, Seattle, WA 98144

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.

Social Worker
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
Registered Nurse
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
Counselor
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
Social Worker
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
Social Worker (Clinical)
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
Social Worker
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
Counselor
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
Counselor (Mental Health)
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144

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 Kelley Sandaker's NPI number?

The NPI number for Kelley Sandaker is 1588080063. It was assigned to this individual provider in the NPPES registry on March 8, 2014.

Where is Kelley Sandaker located?

Kelley Sandaker practices at 3639 Martin Luther King Jr Way S, Seattle, WA 98144. The listed phone number is (206) 774-2461.

What is Kelley Sandaker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelley Sandaker was last updated on July 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.