Ethan Mccormack, LICSW is a
Social Worker based in Seattle, Washington. Ethan Mccormack is licensed to practice in Washington (license number LW60626693) and his current practice location is
4540 Sand Point Way Ne Ste 200, Seattle, Washington. He can be reached at his office (for appointments etc.) via phone at
(206) 987-2000.
NPI number for Ethan Mccormack is 1942612494 and his current mailing address is 4800 Sand Point Way Ne, Seattle, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942612494.
Healthcare Provider's Profile
| Full Name | Ethan Mccormack |
|---|
| Gender | Male |
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| Speciality | Social Worker |
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| Location | 4540 Sand Point Way Ne Ste 200, Seattle, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942612494
- Provider Enumeration Date: 06/02/2014
- Last Update Date: 01/28/2022
Medical Identifiers
Medical identifiers for Ethan Mccormack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942612494 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 6801094378 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60626693 (Washington) | Secondary |
| 104100000X | Social Worker | LW60626693 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Mccormack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ethan Mccormack, LICSW
4800 Sand Point Way Ne,
Seattle, WA 98105-3901
Ph: (206) 987-2000 | Ethan Mccormack, LICSW
4540 Sand Point Way Ne Ste 200,
Seattle, WA 98105-3941
Ph: (206) 987-2000 |
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