Active NPI
Krissy Sue Soto, LICSW
- Social Worker
- Richland, WA
National Provider Identifier
1437677242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LW61521119
- Practice address
- 825 Jadwin Ave Ste 250
Richland, WA 99352-3589 - Phone
- (509) 525-5200
- Fax
- (509) 946-0827
- NPI assigned
- Aug 31, 2017
- Last updated
- Sep 20, 2024
- 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 | LW61521119 | WA | Primary |
Addresses
Primary practice location
825 Jadwin Ave Ste 250
Richland, WA 99352-3589
Mailing address
2399 Copperleaf St
Richland, WA 99354-5013
Phone (509) 827-0283
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 |
|---|---|---|---|
| LW61521119 | WA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodridge of Missouri, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Perimeter Behavioral of Missouri
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Waynesville, MO
- NPI 1174662720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1437677242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2399 COPPERLEAF ST",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993545013",
"telephone_number": "509-827-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 JADWIN AVE STE 250",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523589",
"telephone_number": "509-525-5200",
"fax_number": "509-946-0827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO",
"first_name": "KRISSY",
"middle_name": "SUE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-31",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW61521119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.