Active NPI
Annette C. Hall, LCSW
- Clinical Social Worker
- Sandpoint, ID
National Provider Identifier
1235565805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60338101
- Practice address
- 618 South Division
Sandpoint, ID 83864 - Phone
- (208) 263-0301
- NPI assigned
- Sep 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW60338101 | WA | Primary |
| Social Worker | 104100000X | LW60338101 | WA | |
| Clinical Social Worker | 1041C0700X | LCSW-33113 | ID | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP61308249 | WA |
Addresses
Primary practice location
618 South Division
Sandpoint, ID 83864
Mailing address
432572 Highway 20
Newport, WA 99156-9745
Phone (509) 671-2954
Other names 1
- Annette C. Bales-Hall
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
934 S Garfield Rd
Airway Heights, WA 99001-9030
Phone (509) 789-7610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP61308249 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalispel Tribe-Camas Institute | Current | Accepting new patients |
Locations
934 S Garfield Rd
Airway Heights, WA 99001
Phone (509) 789-7630
1821 Leclerc Rd N
Ste 1
Cusick, WA 99119
Phone (509) 447-7111
1821 Leclerc Rd N
Cusick, WA 99119
Phone (509) 447-7111
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Cusick, WA
- NPI 1396937769
-
- Community/Behavioral Health Agency
- Airway Heights, WA
- NPI 1518019272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1235565805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432572 HIGHWAY 20",
"city": "NEWPORT",
"state": "WA",
"postal_code": "991569745",
"telephone_number": "509-671-2954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 SOUTH DIVISION",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "83864",
"telephone_number": "208-263-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "ANNETTE",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-16",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60338101",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW60338101",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-33113",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP61308249",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNETTE",
"last_name": "BALES-HALL",
"middle_name": "C.",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.