Individual provider Active NPI

Stacy Jeanne Lenny, LICSW, CDP, ACHT

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1275785230
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60918606 Issued in WA
Practice address
1314 NE 43Rd St Ste 213
Seattle, WA 98105
Phone
(206) 947-1123
NPI assigned
Oct 21, 2008
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60334982 WA
Clinical Social Worker 1041C0700X LW60918606 WA Primary

Addresses

Primary practice location

1314 NE 43Rd St Ste 213
Seattle, WA 98105

Mailing address

1314 NE 43Rd St Ste 213
Seattle, WA 98105-5832
Phone (206) 947-1123

Other practice location 1

1314 NE 43rd St Ste 213
Seattle, WA 98105
Phone (206) 947-1123

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
I20190809000618 WA Practitioner - Clinical Social Worker 5799012019 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1314 NE 43Rd St
Suite 213
Seattle, WA 98105-5832
Phone (206) 947-1123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP60334982WAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1275785230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 NE 43RD ST STE 213",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055832",
            "telephone_number": "206-947-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 NE 43RD ST STE 213",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98105",
            "telephone_number": "206-947-1123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 NE 43rd St Ste 213",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98105",
            "country_code": "US",
            "telephone_number": "206-947-1123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENNY",
        "first_name": "STACY",
        "middle_name": "JEANNE",
        "credential": "LICSW, CDP, ACHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60334982",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60918606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.