Nathan Ezzo
NPI 1952646903ActiveIndividual· Social Worker, Clinical· Burien, WA
Social Worker, Clinical with Mindful Therapy Group PC, practicing in Burien, Washington. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1952646903 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 3, 2012 |
| Last updated in NPPES | Sep 8, 2022 |
| Certified by provider | Sep 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LW60951940 | WA |
| Counselor, Mental Health | 101YM0800X | SW124649 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (PA); Practitioner - Clinical Social Worker (WA) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Mindful Therapy Group PCMountlake Terrace, WA · 670 clinicians
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