Individual provider Active NPI

Michelle Beller-Siegfried, LCSW

  • Clinical Social Worker
  • Bellingham, WA
National Provider Identifier
1073694360
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00005790 Issued in WA
Practice address
1715 C St
Bellingham, WA 98225-4016
Phone
(360) 734-4477
Fax
(360) 734-5471
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LW00005790 WA Primary

Addresses

Primary practice location

1715 C St
Bellingham, WA 98225-4016

Mailing address

1715 C St
Bellingham, WA 98225-4016
Phone (360) 734-4477

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
I20061206000148 WA Practitioner - Clinical Social Worker 1658370424 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Mental Health Clinical CurrentSince Jan 5, 2014 Accepting new patients

Locations

1155 N State St
Ste 404
Bellingham, WA 98225

1715 C St
Bellingham, WA 98225
Phone (360) 671-2740

2215 Elm St
Bellingham, WA 98225
Phone (360) 920-2053

Organizations & group practices 1

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073694360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 C ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254016",
            "telephone_number": "360-734-4477",
            "fax_number": "360-734-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 C ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254016",
            "telephone_number": "360-734-4477",
            "fax_number": "360-734-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLER-SIEGFRIED",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.