Individual provider Active NPI

Verna Michelle Monique Sarquilla, MSW

  • Social Worker
  • Chewelah, WA
National Provider Identifier
1437712486
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LW61436586 Issued in WA
Practice address
301 E Clay Ave Ste 201
Chewelah, WA 99109-8936
Phone
(509) 935-4808
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CG60960052 WA
Social Worker 104100000X LW61436586 WA Primary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X LW61436586 WA

Addresses

Primary practice location

301 E Clay Ave Ste 201
Chewelah, WA 99109-8936

Mailing address

165 E Hawthorne Ave
Colville, WA 99114-2629
Phone (509) 684-4597

Other practice location 1

711 E 3rd Ave
Spokane, WA 99202-2211
Phone (509) 838-4651

Other names 1

  • Verna Michelle Monique Nelson Former name

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
I20240328000997 WA Practitioner - Clinical Social Worker 5395182133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stevens CountyGroup PAC ID 2466349394, 12 clinicians

Practice addresses (Care Compare)

165 E Hawthorne Ave
Colville, WA 99114-2629
Phone (509) 684-4597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CG60960052WAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens County CurrentSince Feb 12, 2024 Accepting new patients
Stevens County CurrentSince Feb 12, 2024 Accepting new patients
Stevens County PastSince Jul 21, 2024 Accepting new patients

Locations

301 E Clay Ave
Ste 201
Chewelah, WA 99109
Phone (509) 684-4597

165 E Hawthorne Ave
Colville, WA 99114
Phone (509) 684-4597

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1437712486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E HAWTHORNE AVE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142629",
            "telephone_number": "509-684-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CLAY AVE STE 201",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991098936",
            "telephone_number": "509-935-4808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 E 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992022211",
            "country_code": "US",
            "telephone_number": "509-838-4651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARQUILLA",
        "first_name": "VERNA",
        "middle_name": "MICHELLE MONIQUE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "CG60960052",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW61436586",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW61436586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERNA",
            "last_name": "NELSON",
            "middle_name": "MICHELLE MONIQUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chewelah, WA

Sources for this page

Verify at the official NPI Registry.