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ANTONIA EBERHART
NPI 1922654565
Social Worker - Clinical in Renton, WA

Active since August 09, 2019Opted out of Medicare · through Mar 21, 2028
15 S GRADY WAY STE 249, RENTON, WA 98057(253) 843-6330 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2019, Aug 9, 2019 (2 updates tracked since 2019).

About Antonia Eberhart NPPES

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

ANTONIA EBERHART (NPI 1922654565) is an individual clinical provider in Renton, Washington, licensed in Washington (SC60984451) and active in the NPI registry since August 2019. She has opted out of Medicare through March 21, 2028.

NPPES Registry Identity

NPI1922654565
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANTONIA EBERHART
Location Address15 S GRADY WAY STE 249Renton, WA 98057-3209
Mailing Address15 S Grady Way Ste 249Renton, WA 98057-3209 · (253) 220-9452
Phone(253) 843-6330
Sole ProprietorNo
Enumeration DateAugust 9, 2019
Last NPPES UpdateSeptember 6, 20192 updates tracked since enumeration
✔ NPI 1922654565 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 · SC60984451
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.
15 S GRADY WAY STE 249, Renton, WA 98057
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

ⓘ

Opted out of Medicare

Antonia Eberhart has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 21, 2024 through March 21, 2028.

Opt-Out Effective DateMarch 21, 2024
Opt-Out In Effect ThroughMarch 21, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

OPTIMUM MENTAL HEALTH SERVICES, LLC
Nurse Practitioner (Psychiatric/Mental Health)
15 S GRADY WAY STE 249
RENTON, WA 98057
King County (425) 233-0431
DR. STEPHANIE LEA NAGAI DNP, ARNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
15 S GRADY WAY STE 249
RENTON, WA 98057
King County (425) 233-0431
MISS PRISCA NWIZUGBO ARNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
15 S GRADY WAY STE 249
RENTON, WA 98057
King County (425) 233-0431
PRISCILLA RUTH NEWSOM RN; AP
Nurse Practitioner (Psychiatric/Mental Health)
15 S GRADY WAY STE 249
RENTON, WA 98057
King County (425) 233-0431
HEATHER RAE STEWART
Marriage & Family Therapist
15 S GRADY WAY STE 249
RENTON, WA 98057
King County (425) 233-0431

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 Antonia Eberhart's NPI number?

The NPI number for Antonia Eberhart is 1922654565. It was assigned to this individual provider in the NPPES registry on August 9, 2019.

Where is Antonia Eberhart located?

Antonia Eberhart practices at 15 S Grady Way Ste 249, Renton, WA 98057. The listed phone number is (253) 843-6330.

What is Antonia Eberhart's specialty?

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

Is Antonia Eberhart enrolled in Medicare?

No. Antonia Eberhart has opted out of Medicare through March 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Antonia Eberhart accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Antonia Eberhart 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 Antonia Eberhart was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.