NPIMap

Organization Active NPI

Heather Dazell, MSW, Licsw

  • Counselor
  • Spokane, WA
National Provider Identifier
1093180382
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
SC60302213 Issued in WA
Legal business name
HEATHER DAZELL, MSW, LICSW
Practice address
316 W Boone Ave Ste 577
Spokane, WA 99201-2346
Phone
(509) 279-2407
Fax
(509) 279-2506
NPI assigned
Dec 11, 2015
Last updated
Dec 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Melissa Engles
Title
Business Manager
Phone
(509) 279-2407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X SC60302213 WA Primary

Addresses

Primary practice location

316 W Boone Ave Ste 577
Spokane, WA 99201-2346

Mailing address

316 W Boone Ave Ste 577
Spokane, WA 99201-2346
Phone (509) 279-2407

National Provider Directory

National Provider Directory
Tax ID family
Heather a Dazell MSW Licsw2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1093180382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE STE 577",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012346",
            "telephone_number": "509-279-2407",
            "fax_number": "509-279-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE STE 577",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012346",
            "telephone_number": "509-279-2407",
            "fax_number": "509-279-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER DAZELL, MSW, LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "ENGLES",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "509-279-2407"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "SC60302213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.