Active NPI
Emily Wilson, MSSA
- Social Worker
- Spokane, WA
National Provider Identifier
1013471457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SC61112619
- Practice address
- 407 E 2ND Ave Ste 250
Spokane, WA 99202-1439 - Phone
- (503) 315-9776
- NPI assigned
- Jan 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | SC61112619 | WA | Primary |
Addresses
Primary practice location
407 E 2ND Ave Ste 250
Spokane, WA 99202-1439
Mailing address
407 E 2ND Ave Ste 250
Spokane, WA 99202-1439
Phone (503) 315-9776
Other practice location 1
5901 N Lidgerwood St Ste 115
Spokane, WA 99208-1122
Phone (509) 838-4651
Other practice location 2
22001 Fairmount Blvd
Cleveland, OH 44118-4819
Phone (216) 932-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1013471457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 E 2ND AVE STE 250",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021439",
"telephone_number": "503-315-9776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 E 2ND AVE STE 250",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021439",
"telephone_number": "503-315-9776"
}
],
"practiceLocations": [
{
"address_1": "5901 N Lidgerwood St Ste 115",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992081122",
"country_code": "US",
"telephone_number": "509-838-4651",
"fax_number": "509-363-2762",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22001 Fairmount Blvd",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441184819",
"country_code": "US",
"telephone_number": "216-932-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "EMILY",
"credential": "MSSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-30",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SC61112619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.