Active NPI
Kristine Parkes Mateer, LICSW
- Clinical Social Worker
- Spokane, WA
National Provider Identifier
1457368599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00004587
- Practice address
- 7 S Howard St Ste 321
Spokane, WA 99201-3816 - Phone
- (509) 838-4128
- Fax
- (509) 838-4816
- NPI assigned
- Aug 2, 2006
- 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 | LW00004587 | WA | Primary |
Addresses
Primary practice location
7 S Howard St Ste 321
Spokane, WA 99201-3816
Mailing address
7 S Howard St Ste 321
Spokane, WA 99201-3816
Phone (509) 838-4128
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91056495299201A014 | Other | WA | TRICARE |
| 1952PA | Other | WA | ASURIS NORTHWEST HEALTH |
| 156474 | Other | WA | MANAGED HEALTH NETWORK |
| 000010136170 | Other | WA | REGENCE BLUE SHIELD OF ID |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1457368599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 S HOWARD ST STE 321",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992013816",
"telephone_number": "509-838-4128",
"fax_number": "509-838-4816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 S HOWARD ST STE 321",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992013816",
"telephone_number": "509-838-4128",
"fax_number": "509-838-4816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEER",
"first_name": "KRISTINE",
"middle_name": "PARKES",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00004587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "91056495299201A014",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS NORTHWEST HEALTH",
"identifier": "1952PA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "156474",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD OF ID",
"identifier": "000010136170",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.