Individual provider Active NPI

Stephanie Weil, LICSW

  • Clinical Social Worker
  • Bellevue, WA
National Provider Identifier
1295501963
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00004369 Issued in WA
Practice address
9816 NE 34TH St
Bellevue, WA 98004-1825
Phone
(425) 442-8252
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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 LW00004369 WA Primary

Addresses

Primary practice location

9816 NE 34TH St
Bellevue, WA 98004-1825

Mailing address

9816 NE 34TH St
Bellevue, WA 98004-1825
Phone (425) 442-8252

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
I20240226001679 WA Practitioner - Clinical Social Worker 2264877695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMSC Az LLCGroup PAC ID 4385929173, 130 clinicians
Sondermind PAGroup PAC ID 3577099621, 78 clinicians

Practice addresses (Care Compare)

Leavenworth, WA 98826
Phone (509) 433-7698

1400 112TH Ave SE
Suite 100
Bellevue, WA 98004-6901
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW00004369WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
BMSC Az LLC Clinical CurrentSince Jan 17, 2024 Accepting new patients
Sondermind, P.a. Clinical CurrentSince Mar 6, 2025 Accepting new patients

Locations

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

1400 112th Ave SE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2526

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1295501963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9816 NE 34TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041825",
            "telephone_number": "425-442-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9816 NE 34TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041825",
            "telephone_number": "425-442-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIL",
        "first_name": "STEPHANIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.