Stephanie Widhalm, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LW60331678 Issued in WA

Practice address

1321 W Broadway Ave
Spokane, WA 99201-2053

Phone

(509) 473-4810

Fax

(509) 473-4840

NPI assigned

Mar 29, 2019

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/partnerswithfamilies/r4/

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.

• Partners With Families and Children

  • Community/Behavioral Health Agency
  • Spokane, WA
  • NPI 1124141684
  NPD (past)

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1417418591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 W BROADWAY AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012053",
            "telephone_number": "509-473-4810",
            "fax_number": "509-473-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 W BROADWAY AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012053",
            "telephone_number": "509-473-4810",
            "fax_number": "509-473-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDHALM",
        "first_name": "STEPHANIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60331678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles D Wichser, LMP
• Ronda Wickel
• Jason T Wicklund, PHARMD
• Nancy Ellen Wickre, ARNP
• Christina Mae Widdicombe
• Candy L Widmer, LMP
• Theresa Wiederhold, ARNP
• Kelly A Wiegardt, MA, CCC-SLP
• Allen Jason Wiemer, CRNA
• Eric Andrew Wien, MD

• Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.