Individual provider · Type 1 NPI
Souchinda Viradet Khampradith, LICSW
Clinical Social Worker · Renton, WA
Practice location
15 S Grady Way Ste 347
Renton, WA 98057-3242
Fax (206) 328-8884
Mailing address
PO Box 84625
Seattle, WA 98124-5925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LW00009478 (WA) |
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…
2 other providers at this address
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About NPI 1649588401
Souchinda Viradet Khampradith, LICSW's National Provider Identifier is 1649588401, issued on Sep 15, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Renton, WA. The record was last updated on Sep 15, 2025.