Individual provider Active NPI

Scott Michael, MSW

  • Clinical Social Worker
  • Pasco, WA
National Provider Identifier
1063962397
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61253568 Issued in WA
Practice address
715 W Court St
Pasco, WA 99301-4153
Phone
(509) 545-6506
Fax
(509) 546-0520
NPI assigned
Oct 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SC60914302 WA
Clinical Social Worker 1041C0700X LW61253568 WA Primary

Addresses

Primary practice location

715 W Court St
Pasco, WA 99301-4153

Mailing address

715 W Court St
Pasco, WA 99301-4153
Phone (509) 545-6506

Other identifiers 2

IdentifierTypeStateIssuer
LW61253568OtherWAWASHINGTON STATE DEPARTMENT OF HEALTH
SC60914302OtherWAWASHINGTON STATE DEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200723003774 WA Practitioner - Clinical Social Worker 5991129843 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC60914302WAMDSocial Worker
LW61253568WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Community Health CurrentSince Apr 22, 2020 Accepting new patients
Tri-Cities Community Health Current Accepting new patients
Tri Cities Community Health Past Accepting new patients

Locations

3180 W Clearwater Ave
Ste A
Kennewick, WA 99336

829 Goethals Dr
Richland, WA 99352
Phone (509) 713-7331

Interoperability endpoints

  • Direct secure messaging: scott.michael.1@21034.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1063962397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014153",
            "telephone_number": "509-545-6506",
            "fax_number": "509-546-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014153",
            "telephone_number": "509-545-6506",
            "fax_number": "509-546-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "SCOTT",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-11",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC60914302",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61253568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "LW61253568",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "SC60914302",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.