Individual provider Active NPI

Stan E Case, MSW PHD

  • Clinical Social Worker
  • Edmonds, WA
National Provider Identifier
1396904009
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00006113 Issued in WA
Practice address
7500 212TH St SW
Ste #105
Edmonds, WA 98026-7641
Phone
(425) 775-5678
NPI assigned
Jun 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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 LW00006113 WA Primary

Addresses

Primary practice location

7500 212TH St SW
Ste #105
Edmonds, WA 98026-7641

Mailing address

7500 212TH St SW
Ste. #105
Edmonds, WA 98026-7641
Phone (425) 775-5678

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
I20090519000130 WA Practitioner - Clinical Social Worker 0648329854 Practice locations: Edmonds, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7500 212TH St SW
Suite 105
Edmonds, WA 98026-7614
Phone (425) 775-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1396904009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 212TH ST SW",
            "address_2": "STE. #105",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267641",
            "telephone_number": "425-775-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 212TH ST SW",
            "address_2": "STE #105",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267641",
            "telephone_number": "425-775-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "STAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MSW PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00006113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.