Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caritas Critical Case Management, LLC

Organization Registered Nurse · NPI 1659806032

Caritas Critical Case Management, LLC provides Registered Nurse services in Issaquah, Washington. Licensed in New Jersey and Washington. Registered with an NPI since 2017.

Licensed in
NJ, WA
In the registry since
2017
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23205 SE Black Nugget Rd Apt J2
Issaquah, WA 98029-7326
Phone: (206) 207-9363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence 4219311 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence RN60625891 (WA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN60625891 (WA)

Record details

NPI number1659806032
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ebony Blackmom-Humphrey — Registered Nurse · (206) 207-9363
NPI enumeratedApril 24, 2017
Last updated in NPPESApril 24, 2017
Mailing address23205 Se Black Nugget Rd, Apt J2, Issaquah, WA 98029-7326

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