Active NPI
Sue Mary Stevens, MSW
- Clinical Social Worker
- Fircrest, WA
National Provider Identifier
1184807356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00004768
- Practice address
- 6314 19TH St West
7
Fircrest, WA 98466-6223 - Phone
- (253) 318-4110
- Fax
- (253) 572-8046
- NPI assigned
- Dec 11, 2007
- Last updated
- Dec 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | LW00004768 | WA | Primary |
Addresses
Primary practice location
6314 19TH St West
7
Fircrest, WA 98466-6223
Mailing address
PO Box 65401
University Place, WA 98464-1401
Phone (253) 318-4110
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091230000266 | WA | Practitioner - Clinical Social Worker | 3870634660 | Practice locations: Burien, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2108 SW 152ND St
Burien, WA 98166-2027
Phone (206) 870-1990
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": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1184807356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 65401",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984641401",
"telephone_number": "253-318-4110",
"fax_number": "253-572-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6314 19TH ST WEST",
"address_2": "7",
"city": "FIRCREST",
"state": "WA",
"postal_code": "984666223",
"telephone_number": "253-318-4110",
"fax_number": "253-572-8046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "SUE",
"middle_name": "MARY",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-11",
"last_updated": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00004768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fircrest, WA
- Bonny L Snyder, BA
- Renee Alicia Snyder, L.M.P.
- South Hill Family Counseling, LLC
- Spencer Garlick Optometry, PLLC (Family EyeCare Associates)
- Cecile F Staples, L.M.T.
- Julie Stewart, LMHC, CN
- Megan Struthers, M.D.
- Summer Lynn Stullick, MS, MHP, LMHCA
- Tamara Leigh Taylor, PHD
- The Good Life Institute, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.