KATHLEEN ANN ANDEROSS LICSW
NPI 1851771026
Social Worker - Clinical in Everett, WA

Active since June 03, 2015PECOS EnrolledAccepts Medicare Assignment
2930 MAPLE ST, EVERETT, WA 98201(425) 261-1500(425) 261-1515 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 31, 2021, Aug 21, 2017 (2 updates tracked since 2017).

About Kathleen Ann Andeross Licsw NPPES

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

KATHLEEN ANN ANDEROSS LICSW (NPI 1851771026) is an individual clinical provider in Everett, Washington, licensed in Washington (LW60738408) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minnetonka, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1851771026
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN ANN ANDEROSSCredential: LICSW
Location Address2930 MAPLE STEverett, WA 98201-3832
Mailing Address2930 Maple St, Everett Med CtrEverett, WA 98201-3832 · (800) 422-2844 · Fax (425) 261-1515
Fax(425) 261-1515
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 3, 2015
Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1851771026 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 · LW60738408
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.
2930 MAPLE ST, Everett, WA 98201

Secondary Practice Location 1

Location 113100 Wayzata Blvd, Suite 400Minnetonka, MN 55305-1842 · Phone (952) 417-2110 · Fax (952) 593-1778

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

Kathleen Ann Andeross 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.

PECOS PAC ID8820309412
PECOS Enrollment IDI20170905002172
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 98201 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 20

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

Optometrist
2930 MAPLE ST
EVERETT, WA 98201
Registered Nurse (Ambulatory Care)
2930 MAPLE ST
EVERETT, WA 98201
Physical Therapist
2930 MAPLE ST
EVERETT, WA 98201
Internal Medicine
2930 MAPLE ST
EVERETT, WA 98201
Psychologist (Clinical)
2930 MAPLE ST
EVERETT, WA 98201
Pharmacist
2930 MAPLE ST
EVERETT, WA 98201
Psychiatry & Neurology (Psychiatry)
2930 MAPLE ST
EVERETT, WA 98201
Pharmacist
2930 MAPLE ST
EVERETT, WA 98201

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 Andeross's NPI number?

The NPI number for Kathleen Andeross is 1851771026. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Where is Kathleen Andeross located?

Kathleen Andeross practices at 2930 Maple St, Everett, WA 98201. The listed phone number is (425) 261-1500.

What is Kathleen Andeross's specialty?

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

Is Kathleen Andeross enrolled in Medicare?

Yes. Kathleen Andeross 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.

When was this NPI record last updated?

The NPPES record for Kathleen Andeross was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.