NPIMap

Organization Active NPI

Aging Stewardship LLC

  • Clinical Social Worker
  • Vashon, WA
National Provider Identifier
1043616659
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW 60152875 Issued in WA
Legal business name
AGING STEWARDSHIP LLC
Practice address
18017 Vashon Hwy SW
Vashon, WA 98070-5205
Phone
(206) 941-3851
NPI assigned
Nov 10, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Dr. Jutta E Ataie, PHD, LICSWNPI 1285043331
Title
Director
Phone
(206) 941-3851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW 60152875 WA Primary

Addresses

Primary practice location

18017 Vashon Hwy SW
Vashon, WA 98070-5205

Mailing address

13123 SW 196TH St
Vashon, WA 98070-4805
Phone (206) 941-3851

National Provider Directory

National Provider Directory

Locations

18017 Vashon Hwy SW
Vashon, WA 98070
Phone (206) 463-2945

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1043616659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13123 SW 196TH ST",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980704805",
            "telephone_number": "206-941-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18017 VASHON HWY SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980705205",
            "telephone_number": "206-941-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING STEWARDSHIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "ATAIE",
        "authorized_official_first_name": "JUTTA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "206-941-3851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60152875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vashon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.