Individual provider Active NPI

Isabella Wanjiku Gitau

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1235705187
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61216020 Issued in WA
Practice address
720 W Boone Ave Ste 101
Spokane, WA 99201-2560
Phone
(509) 862-8095
NPI assigned
Jun 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X WA
Clinical Social Worker 1041C0700X SC61216020 WA Primary

Addresses

Primary practice location

720 W Boone Ave Ste 101
Spokane, WA 99201-2560

Mailing address

1103 N Arties LN
Spokane Valley, WA 99016-5413
Phone (978) 728-1415

Other practice location 1

1103 N Arties Ln
Spokane Valley, WA 99016-5413
Phone (197) 872-8141

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
SC61216020WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1235705187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 N ARTIES LN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990165413",
            "telephone_number": "978-728-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W BOONE AVE STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012560",
            "telephone_number": "509-862-8095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 N Arties Ln",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "990165413",
            "country_code": "US",
            "telephone_number": "197-872-8141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GITAU",
        "first_name": "ISABELLA",
        "middle_name": "WANJIKU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61216020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.