Individual provider Active NPI

Lynn Claire Sturgeon, MSW,LICSW

  • Mental Health Counselor
  • Lynnwood, WA
National Provider Identifier
1215082888
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LW00006798 Issued in WA
Practice address
20016 Cedar Valley Rd
Suite 104
Lynnwood, WA 98036-6332
Phone
(425) 672-8496
Fax
(425) 673-9322
NPI assigned
Jan 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LW00006798 WA Primary

Addresses

Primary practice location

20016 Cedar Valley Rd
Suite 104
Lynnwood, WA 98036-6332

Mailing address

20016 Cedar Valley Rd
Suite 104
Lynnwood, WA 98036-6332
Phone (425) 672-8496

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

LicenseStateTypeSpecialty
LW00006798WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215082888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20016 CEDAR VALLEY RD",
            "address_2": "SUITE 104",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366332",
            "telephone_number": "425-672-8496",
            "fax_number": "425-673-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20016 CEDAR VALLEY RD",
            "address_2": "SUITE 104",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366332",
            "telephone_number": "425-672-8496",
            "fax_number": "425-673-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURGEON",
        "first_name": "LYNN",
        "middle_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "MSW,LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW00006798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, 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.

Verify at the official NPI Registry.