Individual provider Active NPI

Debra A Magretta, LICSW, ACSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1467542738
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00004172 Issued in WA
Practice address
3913 N Post St
Spokane, WA 99205-1149
Phone
(509) 701-3080
Fax
(509) 474-1215
NPI assigned
Oct 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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 LW00004172 WA Primary

Addresses

Primary practice location

3913 N Post St
Spokane, WA 99205-1149

Mailing address

PO Box 48294
Spokane, WA 99228-1294
Phone (509) 701-3080

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
LW00004172WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Senior Living Communities, Inc. Past Accepting new patients
Lighthouse Counseling & Psychological Services, PLLC Clinical Past Accepting new patients
Arc Therapy Services, LLC Past Accepting new patients
Cogent Medicine PNW, PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20305/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1467542738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48294",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992281294",
            "telephone_number": "509-701-3080",
            "fax_number": "509-474-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 N POST ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051149",
            "telephone_number": "509-701-3080",
            "fax_number": "509-474-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGRETTA",
        "first_name": "DEBRA",
        "middle_name": "A",
        "credential": "LICSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004172",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 15, 2012; 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.