Active NPI
Marilyn Ann Lacelle, MSW
- Social Worker
- Issaquah, WA
National Provider Identifier
1427220425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LW00006687
- Practice address
- 2190 NW Coyote Creek LN
Issaquah, WA 98027-5604 - Phone
- (425) 392-8973
- NPI assigned
- Mar 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LW00006687 | WA | Primary |
Addresses
Primary practice location
2190 NW Coyote Creek LN
Issaquah, WA 98027-5604
Mailing address
2190 NW Coyote Creek LN
Issaquah, WA 98027-5604
Phone (425) 392-8973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LW00006687 | Other | WA | LICENSED SOCIAL WORKER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LW00006687 | WA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1427220425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2190 NW COYOTE CREEK LN",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980275604",
"telephone_number": "425-392-8973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2190 NW COYOTE CREEK LN",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980275604",
"telephone_number": "425-392-8973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACELLE",
"first_name": "MARILYN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-31",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW00006687",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED SOCIAL WORKER",
"identifier": "LW00006687",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.