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Active NPI 1952646903 Individual Practitioner Male Practitioner

Nathan Ezzo

Social Worker - Clinical • Burien, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nathan Ezzo is a certified Social Worker - Clinical practicing in Burien, WA. With approximately 22 years of clinical experience since completing medical education in 2004, Nathan Ezzo delivers high-quality medical care to the local community at 839 SW 126TH ST.

Nathan Ezzo is affiliated with Mindful Therapy Group Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

839 Sw 126th St

Burien, WA 981462752

Telephone 2156923049

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Burien, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +5.1 yrs vs City Avg
City Avg: 16.9 Yrs
State Avg: 20.8 Yrs
Regional Practice Density
31 Specialists

Practicing in Burien, WA (6524 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ezzo (22 Years) 22 Yrs
Burien Specialty Average (16.9 Years) 16.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
12 12 $165.00 $101.38

Medical Specialties & State Licenses

CMS Verified: 2022-09-08
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License WA LW60951940

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License None SW124649

Definition to come...

Hospital & Practice Group Affiliations

Mindful Therapy Group Pc

320 Ne 97th St, Seattle, WA 981152042

Phone: 4256407009

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 08, 2022

Registered at 839 SW 126TH ST, BURIEN, WA 981462752 (Tel: 2156923049)

📍
Updated Business Mailing Address September 08, 2022

Registered at 839 SW 126TH ST, BURIEN, WA 981462752 (Tel: 2156923049)

NPI Profile Active December 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2012

Registered at 1517 DURHAM RD, PENNDEL, PA 190475707 (Tel: 2157521541)

📍
Updated Business Mailing Address December 03, 2012

Registered at 2005 CABOT BLVD W, LANGHORNE, PA 190471885 (Tel: 2675872300)

👤
Provider Name / Credentials Updated December 03, 2012

Recorded as NATHAN EZZO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2012

Counselor (License #SW124649 in None)

🟢
Initial NPI Registration & Enumeration December 03, 2012

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: 1952646903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2012
Last Update: September 08, 2022
Sole Proprietor: No

Mailing Address

839 Sw 126th St

Burien, WA 981462752

Phone: 2156923049

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.