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Active NPI 1275601031 Individual Practitioner Female Practitioner

Kelli Anne Smith , MSW

Counselor - Professional • Everett, WA

Professional Overview & Biography Verified Profile Summary

Kelli Smith, MSW is a registered healthcare professional specializing in Counselor - Professional in Everett, WA. Practice services are available at 1031 SE EVERETT MALL WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1031 Se Everett Mall Way

Everett, WA 982082833

Telephone 4256095512
Fax 4256095506
Associated Practice Facility / Clinic
🏢 Sea Mar Clinic Facility NPI 1518030931

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
24 Specialists

Practicing in Everett, WA (615 Statewide)

Telehealth Adoption Rate
4.2% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WA RC00055790

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Lisa Mcgregor , LMHC, MA

Counselor - Mental Health

NPI 1083226039

Licensed Mental Health Counselor, Master of Arts

NPI 1134787237

Master of Social Work

Hyein Yoo , LSWAIC

Social Worker

NPI 1255211181
Juana Villar-Gomez , LICSW, CDP

Counselor - Addiction (Substance Use Disorder)

NPI 1255653689

Licensed Independent Clinical Social Worker, CDP

Amanda Edwards , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1275255366

Advanced Registered Nurse Practitioner

Dale Weaver

Counselor - Addiction (Substance Use Disorder)

NPI 1306216635

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1031 SE EVERETT MALL WAY, EVERETT, WA 982082833 (Tel: 4256095512)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1031 SE EVERETT MALL WAY, EVERETT, WA 982082833 (Tel: 4256095512)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KELLI SMITH, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #RC00055790 in WA)

🟢
Initial NPI Registration & Enumeration December 01, 2006

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: 1275601031
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1031 Se Everett Mall Way

Everett, WA 982082833

Phone: 4256095512

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.