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Deactivated NPI 1578849865 Deactivated / Inactive NPI Female Practitioner

Kerrie Buis

Social Worker - Clinical • Everett, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kerrie Buis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 31, 2011
NPI Deactivation Date January 08, 2026
Total Practice Duration ~15 Years of Practice (2011 – 2026)

Professional Overview & Biography Verified Profile Summary

Kerrie Buis was a registered Social Worker - Clinical practicing in Everett, WA. Throughout an active medical career spanning 15 years, Kerrie Buis provided care at the practice location at 3322 BROADWAY until profile deactivation on 2026-01-08.

Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation, psychiatric services complicated by communication factor. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3322 Broadway

Everett, WA 982014425

Telephone 4253496800
Fax 4253496836
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 20.8 Yrs
Regional Practice Density
146 Specialists

Practicing in Everett, WA (6524 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
25.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
160 12 $137.75 $104.83
90791 Psychiatric diagnostic evaluation
11 11 $162.73 $119.16

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Bae Lee

Assistant Behavior Analyst

NPI 1003468224
Cindra Mccrann , RN

Registered Nurse - Gerontology

NPI 1013404417

Registered Nurse

Josha Lowery

Behavior Technician

NPI 1013443290
Lenora Gauthier

Peer Specialist

NPI 1033691852
Fred Rock , MA

Counselor - Mental Health

NPI 1043488745

Master of Arts

Carlee Wilson

Counselor

NPI 1063958957

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated January 08, 2026

Record deactivated on January 08, 2026

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Updated Practice Location July 18, 2022

Registered at 430 E LAURIDSEN BLVD STE 112, PORT ANGELES, WA 983627978 (Tel: 3604571610)

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Updated Business Mailing Address July 18, 2022

Registered at 430 E LAURIDSEN BLVD STE 112, PORT ANGELES, WA 983627978 (Tel: 3604571610)

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Updated Practice Location October 24, 2018

Registered at 118 E 8TH ST, PORT ANGELES, WA 983626129 (Tel: 3604570431)

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Updated Business Mailing Address October 24, 2018

Registered at 118 E 8TH ST, PORT ANGELES, WA 983626129 (Tel: 3604570431)

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2018

Social Worker (License #60617221 in WA)

NPI Profile Active October 22, 2015

NPI status registered as active in NPPES database

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Updated Practice Location October 22, 2015

Registered at 3322 BROADWAY, EVERETT, WA 982014425 (Tel: 4253496800)

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Updated Business Mailing Address October 22, 2015

Registered at 4526 FEDERAL AVE, EVERETT, WA 982138810 (Tel: 4253496800)

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Provider Name / Credentials Updated October 22, 2015

Recorded as KERRIE BUIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2015

Social Worker

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Initial NPI Registration & Enumeration October 31, 2011

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: 1578849865
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2011
Last Update: October 22, 2015
Deactivation Date: January 08, 2026

Mailing Address

4526 Federal Ave

Everett, WA 982138810

Phone: 4253496800

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.