Michael Jay Stern, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004710 Issued in WA

Practice address

2917 Pacific Ave
Ste. 106
Everett, WA 98201-5307

Phone

(425) 252-3133

Fax

(425) 252-3103

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Shifa Health PLLC

  • Cognitive & Behavioral Psychologist
  • Mount Vernon, WA
  • NPI 1356415327
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1295892370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 PACIFIC AVE",
            "address_2": "STE. 106",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982015307",
            "telephone_number": "425-252-3133",
            "fax_number": "425-252-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 PACIFIC AVE",
            "address_2": "STE. 106",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982015307",
            "telephone_number": "425-252-3133",
            "fax_number": "425-252-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stellar Home Care LLC
• Hana Kathryn Stelle, M.D.
• Thomas Wayne Stensland
• Matthew Stephens
• Michelle Stephens
• Steven J. Crawford, DDS, Fagd, PS
• Frank Stevens III
• Marlena Diane Stevens, RN
• Micah James Stevens
• Lacee Stevenson

• Clinical Social Worker in Everett, WA
• Providers in Everett, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.