Healthcare Provider Details

I. General information

NPI: 1881296135
Provider Name (Legal Business Name): NATHANIEL PETER KERR MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: NATHANIEL PETER DEKA MSW

II. Dates (important events)

Enumeration Date: 11/11/2020
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 SAND POINT WAY NE
SEATTLE WA
98115-7869
US

IV. Provider business mailing address

6901 SAND POINT WAY NE
SEATTLE WA
98115-7869
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLW61511420
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSC61109834
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: