Bambi Lassen, MSW, LCSW, PLLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

29490 Issued in ID

Legal business name

BAMBI LASSEN, MSW, LCSW, PLLC

Practice address

102 S Euclid Ave Ste 111
Sandpoint, ID 83864-4916

Phone

(208) 263-4477

Fax

(208) 263-4478

NPI assigned

Dec 8, 2017

Last updated

Dec 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bambi R. Lassen, LCSWNPI 1063581429

Title

Clinician

Phone

(208) 290-5592

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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.

• Bambi Lassen, LMSW

  • Mental Health Counselor
  • Sandpoint, ID
  • NPI 1063581429
  Medicare reassignment NPD Authorized official
• Brianna Curran Thoreson, MSW

  • Clinical Social Worker
  • Sandpoint, ID
  • NPI 1225256522
  NPD

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1154836427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "DOVER",
            "state": "ID",
            "postal_code": "838250010",
            "telephone_number": "208-290-5592",
            "fax_number": "208-263-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S EUCLID AVE STE 111",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838644916",
            "telephone_number": "208-263-4477",
            "fax_number": "208-263-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBI LASSEN, MSW, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "LASSEN",
        "authorized_official_first_name": "BAMBI",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "208-290-5592",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "29490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063581429",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baker Chiropractic Clinic PC
• Christina Jane Baker, LPC, NBCC
• Rick Allan Baker, D.C.
• Tamara Katrina Baker, M.A.
• Richard A. Ballard, DDS
• Barbara Perusse, LLC
• Joshua Aaron Barnes, J.D., L.C.S.W.
• Ronald Timothy Barrett, M.D.
• Kathryn Barron, LM, CPM
• Tabitha Dawn Barron, NP

• Social Worker in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.