Active NPI
Cristina M Speer, LSWAIC
- Clinical Social Worker
- Bellevue, WA
National Provider Identifier
1427778430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC61184182
- Practice address
- 13037 NE Bel Red Rd Ste 102
Bellevue, WA 98005-2618 - Phone
- (425) 502-9945
- NPI assigned
- Aug 30, 2022
- Last updated
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC61184182 | WA | Primary |
Addresses
Primary practice location
13037 NE Bel Red Rd Ste 102
Bellevue, WA 98005-2618
Mailing address
1650 S Topaz Way
Meridian, ID 83642-4474
Phone (208) 605-7070
Other practice location 1
2111 N Northgate Way Ste 101
Seattle, WA 98133-9018
Phone (206) 309-3740
Other practice location 2
7416 212th St SW
Edmonds, WA 98026-7602
Phone (425) 245-5800
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 |
|---|---|---|---|
| SC61184182 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northpoint Washington LLC | Past | Accepting new patients | |
| Evergreen at Northpoint LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seattle, WA
- NPI 1942735667
-
- Substance Abuse Rehabilitation Facility
- Edmonds, WA
- NPI 1891292900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1427778430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 S TOPAZ WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836424474",
"telephone_number": "208-605-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13037 NE BEL RED RD STE 102",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052618",
"telephone_number": "425-502-9945"
}
],
"practiceLocations": [
{
"address_1": "2111 N Northgate Way Ste 101",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981339018",
"country_code": "US",
"telephone_number": "206-309-3740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7416 212th St SW",
"address_purpose": "LOCATION",
"city": "Edmonds",
"state": "WA",
"postal_code": "980267602",
"country_code": "US",
"telephone_number": "425-245-5800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPEER",
"first_name": "CRISTINA",
"middle_name": "M",
"credential": "LSWAIC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC61184182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.