Provider Demographics
NPI:1538164983
Name:THE NORTHWEST PINNACLE GROUP, INC.
Entity type:Organization
Organization Name:THE NORTHWEST PINNACLE GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:K
Authorized Official - Last Name:FEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:206-236-1294
Mailing Address - Street 1:8015 SE 28TH ST
Mailing Address - Street 2:STE 309
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-2910
Mailing Address - Country:US
Mailing Address - Phone:206-236-1294
Mailing Address - Fax:630-604-9955
Practice Address - Street 1:8015 SE 28TH ST
Practice Address - Street 2:STE 309
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2910
Practice Address - Country:US
Practice Address - Phone:206-236-1294
Practice Address - Fax:630-604-9955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-14
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000045611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB33967Medicare ID - Type UnspecifiedMEDICARE MEMBER NUMBER
WAAB33966Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER