Individual provider Active NPI

Brian Maciunes Scheffer, MSW

  • Clinical Social Worker
  • Tumwater, WA
National Provider Identifier
1225116635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00006198 Issued in WA
Practice address
901 Bates St SE
Tumwater, WA 98501-4117
Phone
(360) 352-9742
Fax
(360) 705-3968
NPI assigned
Nov 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Clinical Social Worker 1041C0700X LW00006198 WA Primary

Addresses

Primary practice location

901 Bates St SE
Tumwater, WA 98501-4117

Mailing address

3333 N Whitman St
Tacoma, WA 98407-1547
Phone (253) 759-3065

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180425001181 WA Practitioner - Clinical Social Worker 5395009484 Practice locations: Tumwater, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Tumwater, WA 98501
Phone (253) 380-9750

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225116635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N WHITMAN ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984071547",
            "telephone_number": "253-759-3065",
            "fax_number": "253-759-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BATES ST SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014117",
            "telephone_number": "360-352-9742",
            "fax_number": "360-705-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEFFER",
        "first_name": "BRIAN",
        "middle_name": "MACIUNES",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00006198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

Verify at the official NPI Registry.