Individual provider Active NPI

Tami Haley, MSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1134466337
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW 60116916 Issued in WA
Practice address
707 W 7TH Ave Ste 294
Spokane, WA 99204-2833
Phone
(509) 710-6292
Fax
(509) 747-1802
NPI assigned
Jan 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 LW 60116916 WA Primary

Addresses

Primary practice location

707 W 7TH Ave Ste 294
Spokane, WA 99204-2833

Mailing address

PO Box 8441
Spokane, WA 99203-0441
Phone (509) 710-6292

Other practice location 1

701 W 7th Ave Ste 130
Spokane, WA 99204-2835
Phone (509) 838-3932

Other identifiers 1

IdentifierTypeStateIssuer
2078662MedicaidWA

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
I20170302001462 WA Practitioner - Clinical Social Worker 1658655030 Practice locations: Spokane, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW 60116916WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tami Haley Licsw CurrentSince Jul 24, 2022 Accepting new patients

Locations

707 W 7th Ave
Ste 294
Spokane, WA 99204
Phone (509) 533-5470

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134466337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8441",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992030441",
            "telephone_number": "509-710-6292",
            "fax_number": "509-747-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W 7TH AVE STE 294",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042833",
            "telephone_number": "509-710-6292",
            "fax_number": "509-747-1802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W 7th Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042835",
            "country_code": "US",
            "telephone_number": "509-838-3932",
            "fax_number": "509-838-1163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALEY",
        "first_name": "TAMI",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60116916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2078662",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.