Active NPI
Brian G Altmaier, MSW, LSWAID
- Clinical Social Worker
- Airway Heights, WA
National Provider Identifier
1275073447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC614290149
- Practice address
- 12117 W Chandler Ave
Airway Heights, WA 99001-9431 - Phone
- (509) 904-9482
- NPI assigned
- Mar 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC614290149 | WA | Primary |
Addresses
Primary practice location
12117 W Chandler Ave
Airway Heights, WA 99001-9431
Mailing address
12117 W Chandler Ave
Airway Heights, WA 99001-9431
Phone (509) 904-9482
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 |
|---|---|---|---|
| SC614290149 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1275073447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12117 W CHANDLER AVE",
"city": "AIRWAY HEIGHTS",
"state": "WA",
"postal_code": "990019431",
"telephone_number": "509-904-9482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12117 W CHANDLER AVE",
"city": "AIRWAY HEIGHTS",
"state": "WA",
"postal_code": "990019431",
"telephone_number": "509-904-9482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTMAIER",
"first_name": "BRIAN",
"middle_name": "G",
"credential": "MSW, LSWAID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-07",
"last_updated": "2024-02-14",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC614290149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Airway Heights, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.