Active NPI
Verna Michelle Monique Sarquilla, MSW
- Social Worker
- Chewelah, WA
National Provider Identifier
1437712486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LW61436586
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CG60960052 | WA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stevens County | Current | Accepting new patients | |
| Stevens County | Current | Accepting new patients | |
| Stevens County | Past | 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.
-
- Community/Behavioral Health Agency
- Colville, WA
- NPI 1891792966
-
- Land Ambulance
- Colville, WA
- NPI 1104970268
-
- Mental Illness Community Based Residential Treatment Facility
- Colville, WA
- NPI 1922517192
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.