Nicole Averil Blythe, MSW
NPI 1063725372ActiveIndividual· Social Worker· Renton, WA
Social Worker (MSW) in Renton, Washington, licensed in WA, with an NPI issued in July 2010. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1063725372 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW |
| Sole proprietor | Yes |
| NPI issued | Jul 16, 2010 |
| Last updated in NPPES | May 13, 2022 |
| Certified by provider | May 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | LW60411039 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WA) |
|---|
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