Active NPI
Beth Anne Slaughter, LCSW
- Clinical Social Worker
- Tacoma, WA
National Provider Identifier
1124347505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26173
- Practice address
- Madigan Army Medical Ctr
9040 Reid St., Attn:MCHJ-QCR
Tacoma, WA 98431-1100 - Phone
- (253) 968-2252
- NPI assigned
- May 24, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 26173 | CA | Primary |
Addresses
Primary practice location
Madigan Army Medical Ctr
9040 Reid St., Attn:MCHJ-QCR
Tacoma, WA 98431-1100
Mailing address
565 E Brown Ave
Fresno, CA 93704-5406
Phone (559) 355-1336
Other practice location 1
201 16th Ave E
Seattle, WA 98112-5226
Phone (206) 326-4530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26173 | Other | CA | LCSW LICENSE # |
Other names 1
- Beth Anne Slaughter
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1124347505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 E BROWN AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937045406",
"telephone_number": "559-355-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CTR",
"address_2": "9040 REID ST., ATTN:MCHJ-QCR",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-2252"
}
],
"practiceLocations": [
{
"address_1": "201 16th Ave E",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981125226",
"country_code": "US",
"telephone_number": "206-326-4530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLAUGHTER",
"first_name": "BETH",
"middle_name": "ANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-24",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "26173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW LICENSE #",
"identifier": "26173",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "201 16th Ave E",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981125226",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BETH",
"last_name": "SLAUGHTER",
"middle_name": "ANNE",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.