Active NPI
La Li, LICSW
- Clinical Social Worker
- Redmond, WA
National Provider Identifier
1104385418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61152108
- Practice address
- 11752 163Rd PL NE
Redmond, WA 98052-2395 - Phone
- (919) 348-3237
- NPI assigned
- Mar 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC60800137 | WA | |
| Clinical Social Worker | 1041C0700X | LW61152108 | WA | Primary |
Addresses
Primary practice location
11752 163Rd PL NE
Redmond, WA 98052-2395
Mailing address
11752 163Rd PL NE
Redmond, WA 98052-2395
Phone (919) 348-3237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW61152108 | WA | MD | Clinical Social Worker |
| SC60800137 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1104385418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11752 163RD PL NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980522395",
"telephone_number": "919-348-3237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11752 163RD PL NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980522395",
"telephone_number": "919-348-3237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "LA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-16",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC60800137",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61152108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.