Individual provider Active NPI

Robert Nuffer, LCSW

  • Clinical Social Worker
  • Sequim, WA
National Provider Identifier
1346379765
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00008490 Issued in WA
Practice address
9732 Old Olympic Hwy
Sequim, WA 98382-3150
Phone
(360) 477-3939
Fax
(360) 683-5670
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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 LW00008490 WA Primary

Addresses

Primary practice location

9732 Old Olympic Hwy
Sequim, WA 98382-3150

Mailing address

445 Stellar Ridge LN
Sequim, WA 98382-7968
Phone (360) 477-3939

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
I20051109000702 WA Practitioner - Clinical Social Worker 8426089905 Practice locations: Sequim, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9732 Old Olympic Hwy
Sequim, WA 98382-3150
Phone (360) 477-3939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
McBride Psychologcial Services, P.S. Past Accepting new patients
Katijean Thorpe, MSW, P.S. Clinical PastSince Jan 7, 2016 Accepting new patients

Organizations & group practices 3

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1346379765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 STELLAR RIDGE LN",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983827968",
            "telephone_number": "360-477-3939",
            "fax_number": "360-683-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9732 OLD OLYMPIC HWY",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823150",
            "telephone_number": "360-477-3939",
            "fax_number": "360-683-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUFFER",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

Verify at the official NPI Registry.