Healthcare Provider Details

I. General information

NPI: 1417821000
Provider Name (Legal Business Name): SOCIALWORKS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 01/18/2026
Certification Date: 01/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30225 321ST AVE SE
RAVENSDALE WA
98051-9696
US

IV. Provider business mailing address

30225 321ST AVE SE
RAVENSDALE WA
98051-9696
US

V. Phone/Fax

Practice location:
  • Phone: 509-307-0240
  • Fax: 206-681-9997
Mailing address:
  • Phone: 509-307-0240
  • Fax: 206-681-9997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MISS SARAH M MCCAULEY
Title or Position: EXECUTIVE DIRECTOR
Credential: LSWAIC, SUDP, MHP
Phone: 509-307-0240