Individual provider Active NPI

Veronica Rose Mundell, LCSW

  • Clinical Social Worker
  • Lewiston, ID
National Provider Identifier
1043859515
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
38966 Issued in ID
Practice address
1203 Idaho St
Lewiston, ID 83501-1940
Phone
(208) 848-8300
Fax
(208) 848-8303
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 38966 ID Primary

Addresses

Primary practice location

1203 Idaho St
Lewiston, ID 83501-1940

Mailing address

731 N Iron Bridge Way
Spokane, WA 99202-4926
Phone (509) 444-8888

Other practice location 1

731 N Iron Bridge Way
Spokane, WA 99202-4926
Phone (509) 444-8888

Other practice location 2

317 W 6th St Ste 208
Moscow, ID 83843-2387
Phone (208) 882-3504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200130002685 ID Practitioner - Clinical Social Worker 5496181067 Reassigns benefits to 2 organizations
I20251028002539 WA Practitioner - Clinical Social Worker 5496181067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Association of SpokaneGroup PAC ID 9638063217, 222 clinicians
Scott Community Care, PLLCGroup PAC ID 2567701618, 7 clinicians

Practice addresses (Care Compare)

1203 Idaho St
Lewiston, ID 83501-1940
Phone (208) 848-8300

317 W 6TH St
Suite 208
Moscow, ID 83843-2387
Phone (208) 882-3504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38966IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane CurrentSince Oct 14, 2025 Accepting new patients
Community Health Association of Spokane CurrentSince Oct 14, 2025 Accepting new patients
Community Health Association of Spokane CurrentSince Oct 14, 2025 Accepting new patients
Community Health Association of Spokane Current Accepting new patients
Scott Community Care, PLLC CurrentSince Jan 15, 2020 Accepting new patients

Locations

1534 Idaho St
Lewiston, ID 83501
Phone (208) 717-4823

1203 Idaho St
Lewiston, ID 83501
Phone (208) 848-8300

803 S Main St
Ste 120
Moscow, ID 83843
Phone (208) 848-8300

317 W 6th St
Ste 208
Moscow, ID 83843
Phone (208) 882-3504

1720 2nd St
Cheney, WA 99004
Phone (207) 865-8002

731 N Iron Bridge Way
Spokane, WA 99202
Phone (509) 671-1979

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1043859515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 N IRON BRIDGE WAY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024926",
            "telephone_number": "509-444-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 IDAHO ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011940",
            "telephone_number": "208-848-8300",
            "fax_number": "208-848-8303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "731 N Iron Bridge Way",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992024926",
            "country_code": "US",
            "telephone_number": "509-444-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 W 6th St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838432387",
            "country_code": "US",
            "telephone_number": "208-882-3504",
            "fax_number": "877-935-2107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNDELL",
        "first_name": "VERONICA",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "38966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.