Fiddlehead Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FIDDLEHEAD THERAPY PLLC

Practice address

21907 64TH Ave W Ste 330
Mountlake Terrace, WA 98043-6238

Phone

(425) 399-7063

NPI assigned

Dec 14, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laurie Ganberg, MSW, LICSWNPI 1639208234

Title

Owner

Phone

(425) 399-7063

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurie Ganberg, MSW, LICSW

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1639208234
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1003684432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21907 64TH AVE W STE 330",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980436238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21907 64TH AVE W STE 330",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980436238",
            "telephone_number": "425-399-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDDLEHEAD THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "GANBERG",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-399-7063",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Farah
• Jessica Lee Farrah, AU.D.
• Julie Feathers
• Rebecca Felman
• Cameron Ferguson
• Ruth Jennifer Field
• Angie Figueroa-Ghersi
• Kelly C. Finan, MS, RDN
• Daniel Fitzmaurice, DPT
• Sharai Oriana Flores

• Clinical Social Worker in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.