AMBER PETITT LICSW
NPI 1912723222
Social Worker in Seattle, WA

Q: What is Amber Petitt's NPI number?

The NPI number for Amber Petitt is 1912723222. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Q: What is Amber Petitt's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Amber Petitt was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since December 02, 2024PECOS Enrolled

4800 SAND POINT WAY NE, SEATTLE, WA 98105(206) 987-2000 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 28, 2026, Dec 2, 2024 (2 updates tracked since 2024).

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About Amber Petitt Licsw NPPES

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

AMBER PETITT LICSW (NPI 1912723222) is an individual social worker in Seattle, Washington, licensed in Washington (SWI.LW.61578134) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Woodinville, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1912723222

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameAMBER PETITTCredential: LICSW

Location Address4800 SAND POINT WAY NESeattle, WA 98105-3901

Mailing Address2104 N 54th St Apt 203Seattle, WA 98103-6243

Phone(206) 987-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 2, 2024

Last NPPES UpdateJune 22, 20262 updates tracked since enumeration

NPPES CertifiedJune 22, 2026

✔ NPI 1912723222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in WA · SWI.LW.61578134

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

4800 SAND POINT WAY NE, Seattle, WA 98105

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Secondary Practice Location 1

Location 113303 NE 175th StWoodinville, WA 98072-8503 · Phone (425) 298-3238

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amber Petitt Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537626247

PECOS Enrollment IDI20260812001559

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.

Medicare Billing Reassignment

Medicare enrollment records show Amber Petitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seattle Children's Hospital

Same address

Specialist

4800 SAND POINT WAY NE
Seattle, WA 98105

Reassigned Medicare billing, Washington enrollment
Medicare enrollment name: Seattle Childrens Hospital
912 clinicians in this Medicare group

NPI 1003319500 (206) 987-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

NALINI MALARKKAN MD

Anesthesiology

4800 SAND POINT WAY NE
SEATTLE, WA 98105

King County (206) 987-2728

MS. LINDA E EBLEN MA

Speech-Language Pathologist

4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105

King County (206) 987-6164

DR. JAMES TOLIVER BENNETT JR. M.D., PH.D.

Medical Genetics (Clinical Molecular Genetics)

4800 SAND POINT WAY NE, GENETIC MEDICINE
SEATTLE, WA 98105

King County (206) 987-2056

DR. LESLIE ANN DERVAN MD

Pediatrics (Pediatric Critical Care Medicine)

4800 SAND POINT WAY NE, MB.10.620
SEATTLE, WA 98105

King County (206) 987-0293

DR. INDI TREHAN MD

Pediatrics (Pediatric Infectious Diseases)

4800 SAND POINT WAY NE
SEATTLE, WA 98105

King County (206) 987-2000

MS. JENNIFER PATANO CNP

Nurse Practitioner (Pediatrics)

4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105

King County (206) 987-8949

MRS. SUSAN L HOLTZCLAW ARNP

Nurse Practitioner (Family)

4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105

King County (206) 987-5691

SHENG ZHOU MD

Otolaryngology (Pediatric Otolaryngology)

4800 SAND POINT WAY NE
SEATTLE, WA 98105

King County (206) 987-2105

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 Amber Petitt's NPI number?

The NPI number for Amber Petitt is 1912723222. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Amber Petitt located?

Amber Petitt practices at 4800 Sand Point Way NE, Seattle, WA 98105. The listed phone number is (206) 987-2000.

What is Amber Petitt's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Amber Petitt enrolled in Medicare?

Yes. Amber Petitt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amber Petitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Petitt reassigns Medicare benefits to Seattle Children's Hospital (Seattle, 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 Amber Petitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amber Petitt accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Amber Petitt 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 Amber Petitt was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.