Individual provider Active NPI

Sarah Wolfer, LICSW

  • Clinical Social Worker
  • Shoreline, WA
National Provider Identifier
1356819973
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60899011 Issued in WA
Practice address
1424 NE 155TH St Ste 201
Shoreline, WA 98155-7104
Phone
(425) 331-9733
Fax
(425) 589-0324
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW60899011 WA
Clinical Social Worker 1041C0700X LW60899011 WA Primary

Addresses

Primary practice location

1424 NE 155TH St Ste 201
Shoreline, WA 98155-7104

Mailing address

1424 NE 155TH St Ste 201
Shoreline, WA 98155-7104
Phone (425) 331-9733

Other identifiers 2

IdentifierTypeStateIssuer
LW60899011OtherWADEPARTMENT OF HEALTH
SC60544662OtherWADEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW60899011WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Courageous You PLLC Clinical CurrentSince Aug 23, 2020 Accepting new patients

Locations

1424 NE 155th St
Ste 201
Shoreline, WA 98155
Phone (206) 940-0510

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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1356819973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 NE 155TH ST STE 201",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557104",
            "telephone_number": "425-331-9733",
            "fax_number": "425-589-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 NE 155TH ST STE 201",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557104",
            "telephone_number": "425-331-9733",
            "fax_number": "425-589-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFER",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60899011",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60899011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "LW60899011",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "SC60544662",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.