Individual provider · Type 1 NPI

Katherine Aviva Wynn, LSWAIC

Clinical Social Worker · Mercer Island, WA

NPI number 1598549073 Active

Practice location

8015 SE 28th Street
Mercer Island, WA 98040

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSC61553232 (WA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1598549073

Katherine Aviva Wynn, LSWAIC's National Provider Identifier is 1598549073, issued on Aug 24, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mercer Island, WA. The record was last updated on Dec 4, 2025.