KIMBERLY PENDERGRASS LICSW
NPI 1598015950
Social Worker - Clinical in Seattle, WA

Active since September 13, 2012
2600 S. W. HOLDEN STREET, SEATTLE, WA 98126(206) 933-7000 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kimberly Pendergrass Licsw NPPES

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

KIMBERLY PENDERGRASS LICSW (NPI 1598015950) is an individual clinical provider in Seattle, Washington, licensed in Washington (LW60098294) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1598015950
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY PENDERGRASSCredential: LICSW
Location Address2600 S. W. HOLDEN STREETSeattle, WA 98126
Mailing Address2600 S. W. Holden StreetSeattle, WA 98126 · (206) 933-7000
Sole ProprietorNo
Enumeration DateSeptember 13, 2012
NPI 1598015950 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 · LW60098294
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.
2600 S. W. HOLDEN STREET, Seattle, WA 98126

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 Kimberly Pendergrass's NPI number?

The NPI number for Kimberly Pendergrass is 1598015950. It was assigned to this individual provider in the NPPES registry on September 13, 2012.

Where is Kimberly Pendergrass located?

Kimberly Pendergrass practices at 2600 S. W. Holden Street, Seattle, WA 98126. The listed phone number is (206) 933-7000.

What is Kimberly Pendergrass's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Pendergrass was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.