BJ Solberg, LCSW, CDMHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00005054 Issued in WA

Practice address

105 N. First St.
Coupeville, WA 98239

Phone

(369) 678-5555

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053476457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11859 OLGA RD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218795",
            "telephone_number": "360-299-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N. FIRST ST.",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "98239",
            "telephone_number": "369-678-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLBERG",
        "first_name": "BJ",
        "name_prefix": "Ms.",
        "credential": "LCSW, CDMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skagit Island Rehabilitation Group (Coupeville Physical Therapy)
• K. Byron Skubi, M.D.
• Starla Smit
• Joshua Caleb Smith, PHARM D.
• Judith Smith
• South Sound Inpatient Physicians, PLLC
• Kayla Rose Spangler, M.S.
• Katherine Stallman, RPH
• Katrina Marie Stanton
• Suzanne C Stclaire

• Clinical Social Worker in Coupeville, WA
• Providers in Coupeville, 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 Jul 8, 2007; 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.