Active NPI
Michael A Weiford
- Clinical Social Worker
- Edmonds, WA
National Provider Identifier
1154467108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00005865
- Practice address
- 547 Dayton St
Edmonds, WA 98020-3431 - Phone
- (425) 771-5166
- Fax
- (425) 670-2807
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- 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 | LW00005865 | WA | Primary |
Addresses
Primary practice location
547 Dayton St
Edmonds, WA 98020-3431
Mailing address
4502 237TH PL SW
Mountlake Terrace, WA 98043-5713
Phone (425) 771-5166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WE0144 | Other | WA | REGENCE |
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 |
|---|---|---|---|
| LW00005865 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154467108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 237TH PL SW",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980435713",
"telephone_number": "425-771-5166",
"fax_number": "425-670-2807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "547 DAYTON ST",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980203431",
"telephone_number": "425-771-5166",
"fax_number": "425-670-2807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIFORD",
"first_name": "MICHAEL",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00005865",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "WE0144",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.