Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174165922 Individual Practitioner Female Practitioner

Justine Marie Ivy , MSW

Social Worker - Clinical • Bothell, WA

Professional Overview & Biography Verified Profile Summary

Justine Ivy, MSW is a registered healthcare professional specializing in Social Worker - Clinical in Bothell, WA. Practice services are available at 2641 242ND PL SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2641 242nd Pl Se

Bothell, WA 980216508

Telephone 2062294056

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Bothell, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.9 Yrs
State Avg: 20.8 Yrs
Regional Practice Density
42 Specialists

Practicing in Bothell, WA (6524 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License WA LW60334018

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Wa Licsw Provider Number
LW60334018 (WA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 14, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2019

Registered at 2641 242ND PL SE, BOTHELL, WA 980216508 (Tel: 2062294056)

📍
Updated Business Mailing Address October 14, 2019

Registered at 2641 242ND PL SE, BOTHELL, WA 980216508 (Tel: 2062294056)

👤
Provider Name / Credentials Updated October 14, 2019

Recorded as JUSTINE IVY, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2019

Social Worker (License #LW60334018 in WA)

🟢
Initial NPI Registration & Enumeration October 14, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174165922
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2019
Last Update: October 14, 2019
Sole Proprietor: Yes

Mailing Address

2641 242nd Pl Se

Bothell, WA 980216508

Phone: 2062294056

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.