Individual provider Active NPI

Cheryl Noel Richards Enstad, MSW, LICSW

  • Clinical Social Worker
  • Bellingham, WA
National Provider Identifier
1306375985
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60155622 Issued in WA
Practice address
1155 N State St
Bellingham, WA 98225-5037
Phone
(360) 296-5693
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 LW60155622 WA Primary

Addresses

Primary practice location

1155 N State St
Bellingham, WA 98225-5037

Mailing address

3926 Lakemont Rd
Bellingham, WA 98226-8621
Phone (360) 296-5693

Other practice location 1

1155 N State St
Bellingham, WA 98225-5037
Phone (360) 296-5693

Other names 1

  • Cheryl Noel Richards Former name

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
I20171012001076 WA Practitioner - Clinical Social Worker 3173898426 Practice locations: Bellingham, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1155 N State St
Suite 326
Bellingham, WA 98225-5024
Phone (360) 296-5693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60155622WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1306375985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 LAKEMONT RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268621",
            "telephone_number": "360-296-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255037",
            "telephone_number": "360-296-5693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 N State St",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982255037",
            "country_code": "US",
            "telephone_number": "360-296-5693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENSTAD",
        "first_name": "CHERYL",
        "middle_name": "NOEL RICHARDS",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60155622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "RICHARDS",
            "middle_name": "NOEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.