Individual provider Active NPI

Maria Chacon

  • Clinical Social Worker
  • Sunnyside, WA
National Provider Identifier
1215060181
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60279903 Issued in WA
Practice address
300 S 7TH St
Sunnyside, WA 98944-1503
Phone
(509) 818-3337
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 60279903 WA
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X LW60279903 WA Primary

Addresses

Primary practice location

300 S 7TH St
Sunnyside, WA 98944-1503

Mailing address

300 S 7TH St
Sunnyside, WA 98944-1503
Phone (509) 818-3337

Other practice location 1

1000 Wallace Way
Grandview, WA 98930-8805
Phone (509) 882-3819

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
60279903WAMDClinical Social Worker
LW60279903WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Counseling and Counseling and Consulting Clinical CurrentSince Jul 3, 2022 Accepting new patients

Locations

300 S 7th St
Sunnyside, WA 98944
Phone (509) 818-3337

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1215060181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 7TH ST",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989441503",
            "telephone_number": "509-818-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 7TH ST",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989441503",
            "telephone_number": "509-818-3337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Wallace Way",
            "address_purpose": "LOCATION",
            "city": "Grandview",
            "state": "WA",
            "postal_code": "989308805",
            "country_code": "US",
            "telephone_number": "509-882-3819",
            "fax_number": "509-882-0329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHACON",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60279903",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60279903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.