MEDICARE: CARLIN MACCORKLE LMHCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	70047626	WA

General Provider Information

NPI Number	:	1467317255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLIN MACCORKLE LMHCA

Provider Business Mailing Address
First Line	:	1325 31ST AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98144-3907
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1914 N 34TH ST STE 206
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-9089
Country	:	US
Telephone Number	:	206-594-0577
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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Directions to “ CARLIN MACCORKLE LMHCA” Practice Location

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