Active NPI
Sazi Lane Wald, LSWAIC
- Clinical Social Worker
- Olympia, WA
National Provider Identifier
1265901706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC61038225
- Practice address
- 1005 Olympia Ave NE
Olympia, WA 98506-4033 - Phone
- (360) 207-4467
- NPI assigned
- Nov 14, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | WA | ||
| Social Worker | 104100000X | SC61038225 | WA | |
| Clinical Social Worker | 1041C0700X | SC61038225 | WA | Primary |
Addresses
Primary practice location
1005 Olympia Ave NE
Olympia, WA 98506-4033
Mailing address
1005 Olympia Ave NE
Olympia, WA 98506-4033
Phone (360) 207-4467
Other names 1
- Sarah Lane Wald
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
| License | State | Type | Specialty |
|---|---|---|---|
| SC61038225 | WA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunflower Mental Health, PLLC | Current | Accepting new patients |
Locations
1005 Olympia Ave NE
Olympia, WA 98506
Phone (360) 791-5933
Organizations & group practices 1
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": "1542153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1265901706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 OLYMPIA AVE NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985064033",
"telephone_number": "360-207-4467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 OLYMPIA AVE NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985064033",
"telephone_number": "360-207-4467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALD",
"first_name": "SAZI",
"middle_name": "LANE",
"credential": "LSWAIC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-14",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SC61038225",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC61038225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "WALD",
"middle_name": "LANE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.