NPI 1104406008 · live from the CMS NPI Registry
Amal Abdulrahman
Social Worker, Clinical in Renton, WA. National Provider Identifier 1104406008, active.
NPI record
| NPI | 1104406008 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 14815 200th Ave Se, Renton, WA 98059 |
| Practice phone | 206-612-4819 |
| Enumerated | April 13, 2021 |
| Last updated | December 23, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | LW61486007 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.