{
"Npi": {
"NPI": "1891662623",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALL SEASONS THERAPY PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8705 238TH ST SW UNIT G",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EDMONDS",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98026-8959",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "425-341-3448",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5005 200TH ST SW STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LYNNWOOD",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98036-6679",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-317-6011",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/17/2025",
"LastUpdateDate": "10/17/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WOLDTVEDT",
"AuthorizedOfficialFirstName": "DAVID",
"AuthorizedOfficialMiddleName": "GREIFFENBERG",
"AuthorizedOfficialTitle": "OWNER/ FOUNDER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LICSW, SUDP",
"AuthorizedOfficialTelephoneNumber": "425-341-3448",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}