Individual provider Active NPI

Richard Tobin Sirota

  • Clinical Social Worker
  • Bellevue, WA
National Provider Identifier
1447895263
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
12826 SE 40TH LN Ste 203
Bellevue, WA 98006-4276
Phone
(206) 459-2242
NPI assigned
Nov 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

12826 SE 40TH LN Ste 203
Bellevue, WA 98006-4276

Mailing address

12826 SE 40TH LN Ste 203
Bellevue, WA 98006-4276
Phone (206) 459-2242

Other practice location 1

12905 SE 26th Pl
Bellevue, WA 98005-4357
Phone (206) 459-2242 ext. 20645

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

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1447895263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12826 SE 40TH LN STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064276",
            "telephone_number": "206-459-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 SE 40TH LN STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064276",
            "telephone_number": "206-459-2242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12905 SE 26th Pl",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980054357",
            "country_code": "US",
            "telephone_number": "206-459-2242 x20645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIROTA",
        "first_name": "RICHARD",
        "middle_name": "TOBIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.