Individual provider Active NPI

Tami Beelaert, LICSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1265804942
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60024570 Issued in WA
Practice address
922 S Cowley St Ste 9
Spokane, WA 99202-1263
Phone
(509) 822-6777
Fax
(509) 483-1268
NPI assigned
Oct 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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 LW60024570 WA Primary

Addresses

Primary practice location

922 S Cowley St Ste 9
Spokane, WA 99202-1263

Mailing address

922 S Cowley St Ste 9
Spokane, WA 99202-1263
Phone (509) 822-6777

Other practice location 1

4815 N Assembly St
Spokane, WA 99205-6185
Phone (509) 484-7896

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
I20241030001756 WA Practitioner - Clinical Social Worker 2062945900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foundations Family Support LLCGroup PAC ID 0547669731, 3 clinicians

Practice addresses (Care Compare)

922 S Cowley St
Suite 9
Spokane, WA 99202-1263
Phone 5098226777200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60024570WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Family Support LLC Clinical CurrentSince Aug 8, 2024 Accepting new patients
Harbor Youth and Family Counseling CurrentSince Dec 1, 2024 Accepting new patients

Locations

221 W Wynooche Ave
Unit B
Montesano, WA 98563
Phone (360) 280-4969

922 S Cowley St
Ste 9
Spokane, WA 99202
Phone (509) 822-6777

16000 Christensen Rd
Ste 200
Tukwila, WA 98188
Phone (833) 719-0886

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.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1265804942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 S COWLEY ST STE 9",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021263",
            "telephone_number": "509-822-6777",
            "fax_number": "509-483-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 S COWLEY ST STE 9",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021263",
            "telephone_number": "509-822-6777",
            "fax_number": "509-483-1268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 N Assembly St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992056185",
            "country_code": "US",
            "telephone_number": "509-484-7896",
            "fax_number": "509-483-1268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEELAERT",
        "first_name": "TAMI",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60024570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.