Individual provider Active NPI

Esther Maria Grummel, LICSW

  • Clinical Social Worker
  • Bellingham, WA
National Provider Identifier
1295279875
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60343997 Issued in WA
Practice address
103 E Holly St Ste 319
Bellingham, WA 98225-4728
Phone
(360) 389-2994
NPI assigned
Dec 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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 LW60343997 WA Primary

Addresses

Primary practice location

103 E Holly St Ste 319
Bellingham, WA 98225-4728

Mailing address

3207 Vallette St
Bellingham, WA 98225-1847
Phone (360) 201-5245

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
I20190114003251 WA Practitioner - Clinical Social Worker 4486990371 Practice locations: Bellingham, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

103 E Holly St
Suite 319
Bellingham, WA 98225-4728
Phone (360) 389-2994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60343997WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Esther Grummel MSW Licsw CDP Clinical CurrentSince Jan 8, 2020 Accepting new patients

Locations

103 E Holly St
Ste 319
Bellingham, WA 98225
Phone (360) 389-2994

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1295279875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 VALLETTE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251847",
            "telephone_number": "360-201-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E HOLLY ST STE 319",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254728",
            "telephone_number": "360-389-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUMMEL",
        "first_name": "ESTHER",
        "middle_name": "MARIA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60343997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.