Healthcare Provider Details

I. General information

NPI: 1033062062
Provider Name (Legal Business Name): COLLECTIVE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 09/02/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4010 STONE WAY N. SUITE 300
SEATTLE WA
98103-8099
US

IV. Provider business mailing address

4010 STONE WAY N. SUITE 300
SEATTLE WA
98103-8099
US

V. Phone/Fax

Practice location:
  • Phone: 509-761-4667
  • Fax:
Mailing address:
  • Phone: 509-761-4667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: AMELIA GROSS
Title or Position: SOCIAL WORKER
Credential: LICSW
Phone: 206-498-9222