Justine V Sanders, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60166101 Issued in WA

Practice address

5019 Grove St Ste 102
Marysville, WA 98270-4491

Phone

(425) 299-3570

NPI assigned

Oct 1, 2013

Last updated

Oct 1, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1205263597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 ARROWHEAD BEACH RD",
            "city": "CAMANO ISLAND",
            "state": "WA",
            "postal_code": "982828711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 GROVE ST STE 102",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704491",
            "telephone_number": "425-299-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JUSTINE",
        "middle_name": "V",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60166101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahara Adult Family Home Inc.
• Mandeep Saini, MD
• Daniel Samaniego, OD
• Rachelle Samia
• Greg Stephen Sanders, MD
• Amber Sandhop, COTA/L
• Bintou Sanneh, RN
• Nicholas Julien Sanz-Gould, LMT
• Simrat Saran, M.D.
• Anita T Sassaman, NP

• Clinical Social Worker in Marysville, WA
• Providers in Marysville, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.