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TRISTA NICOLE MORTENSEN MSW
NPI 1720125636
Social Worker - Clinical in Renton, WA

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
304 MAIN AVE S, STE 102, RENTON, WA 98057(206) 697-3281(206) 358-5753 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2021, Apr 10, 2017 (2 updates tracked since 2017).

About Trista Nicole Mortensen Msw NPPES

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

TRISTA NICOLE MORTENSEN MSW (NPI 1720125636) is an individual clinical provider in Renton, Washington, licensed in Washington (LW60004175) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1720125636
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTRISTA NICOLE MORTENSENCredential: MSW
Location Address304 MAIN AVE S, STE 102Renton, WA 98057-2758
Mailing Address304 Main Ave S, Ste 102Renton, WA 98057-2758 · (206) 697-3281 · Fax (206) 358-5753
Phone(206) 697-3281
Fax(206) 358-5753
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJanuary 31, 2007
Last NPPES UpdateOctober 1, 20212 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1720125636 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 · LW60004175
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.
304 MAIN AVE S, Renton, WA 98057
Open in Google Maps ↗

Other Identifiers 1

Medicaid2076299WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Trista Nicole Mortensen Msw 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.

PECOS PAC ID5991959363
PECOS Enrollment IDI20130212000369
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.67 – $189.37
Typical copayment $0.00 (range $15.91 – $47.34)
Most-billed visit code NA
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DOUGLAS E SULLIVAN DC
Chiropractor
304 MAIN AVE S, 203
RENTON, WA 98057
King County (206) 683-2995
LAURA AHN MA LMHCA
Counselor (Mental Health)
304 MAIN AVE S, SUITE 301
RENTON, WA 98057
King County (206) 552-8899
DR. LAURA J HIEB ND
Naturopath
304 MAIN AVE S, STE 201
RENTON, WA 98057
King County (425) 282-5304
DOUGLAS SULLIVAN, PC
Chiropractor
304 MAIN AVE S, 203
RENTON, WA 98057
King County (206) 683-2995
DR. BENJAMIN ERSKINE JOHNSON PSY.D.
Psychologist (Clinical)
304 MAIN AVE S, STE 303
RENTON, WA 98057
King County (425) 228-7265
SANDRA ELIZABETH TUDOR M.A., L.M.H.C.A.
Counselor (Mental Health)
304 MAIN AVE S
RENTON, WA 98057
King County (206) 914-0426

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 Trista Mortensen's NPI number?

The NPI number for Trista Mortensen is 1720125636. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Trista Mortensen located?

Trista Mortensen practices at 304 Main Ave S Ste 102, Renton, WA 98057. The listed phone number is (206) 697-3281.

What is Trista Mortensen's specialty?

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

Is Trista Mortensen enrolled in Medicare?

Yes. Trista Mortensen 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.

What insurance does Trista Mortensen accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Trista Mortensen 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 Trista Mortensen was last updated on October 1, 2021. 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.