Active NPI
Victoria Jordana Eisner, LCSW
- Social Worker
- Bellevue, WA
National Provider Identifier
1013340074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6518-S
- Practice address
- 11245 SE 6TH St Ste 230
Bellevue, WA 98004-6651 - Phone
- (702) 292-3774
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8438-C | NV | |
| Clinical Social Worker | 1041C0700X | 8438-C | NV | |
| Social Worker | 104100000X | 6518-S | NV | Primary |
Addresses
Primary practice location
11245 SE 6TH St Ste 230
Bellevue, WA 98004-6651
Mailing address
11245 SE 6TH St Ste 230
Bellevue, WA 98004-6651
Phone (310) 490-0512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6518-S | NV | MD | Social Worker |
| 8438-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1013340074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11245 SE 6TH ST STE 230",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046651",
"telephone_number": "310-490-0512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11245 SE 6TH ST STE 230",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046651",
"telephone_number": "702-292-3774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISNER",
"first_name": "VICTORIA",
"middle_name": "JORDANA",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "8438-C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "8438-C",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "6518-S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.