Individual provider Active NPI

Kathleen Alyce Weigel, MSW

  • Clinical Social Worker
  • Spokane Valley, WA
National Provider Identifier
1457528044
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60118605 Issued in WA
Practice address
8902 E Alki Ave
Spokane Valley, WA 99212-2705
Phone
(509) 481-0513
NPI assigned
May 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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 LW60118605 WA Primary

Addresses

Primary practice location

8902 E Alki Ave
Spokane Valley, WA 99212-2705

Mailing address

8902 E Alki Ave
Spokane Valley, WA 99212-2705
Phone (509) 481-0513

Other identifiers 1

IdentifierTypeStateIssuer
1457528044MedicaidWA

Other names 1

  • Kathleen Alyce McDougall Other name

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

State licenses

LicenseStateTypeSpecialty
LW60118605WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindcare Solutions of Texas PA CurrentSince Aug 4, 2021 Accepting new patients

Locations

1007 Koala Dr
Omak, WA 98841
Phone (509) 826-8409

Interoperability endpoints

  • Direct secure messaging: kathleen.weigel.1@19043.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1457528044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 E ALKI AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122705",
            "telephone_number": "509-481-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 E ALKI AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122705",
            "telephone_number": "509-481-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGEL",
        "first_name": "KATHLEEN",
        "middle_name": "ALYCE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60118605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457528044",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MCDOUGALL",
            "middle_name": "ALYCE",
            "credential": "LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.