Stephanie Christine Vanvalkenburgh Lohman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61213586 Issued in WA

Practice address

12900 NE 180TH St Ste 160
Bothell, WA 98011-5778

Phone

(206) 350-7506

NPI assigned

May 30, 2018

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 13, 2024 through Feb 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1215429873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13401 NE BEL RED RD STE B12",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052322",
            "telephone_number": "206-350-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 NE 180TH ST STE 160",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115778",
            "telephone_number": "206-350-7506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13401 NE Bel Red Rd Ste B12",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980052322",
            "country_code": "US",
            "telephone_number": "206-350-7506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANVALKENBURGH LOHMAN",
        "first_name": "STEPHANIE",
        "middle_name": "CHRISTINE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61213586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larae Van Derschelden
• Allan Leslie Van Ness, DDS, MSD
• Penny Lee Vance
• Philip Vande Pol, PT, DPT
• Jennifer Nicole Vandecar, OT
• Ryan Michael Varian
• Mayra Vasquez, LANGUAGE INTERPRETER
• Sumangala Vasudevan, MD
• Jason Vaught, LMHCA
• Jaymes Richard Venema, MD

• Clinical Social Worker in Bothell, WA
• Providers in Bothell, 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 Jun 19, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.