Individual provider Active NPI

Liat Tamar Feinberg, LICSW

  • Clinical Social Worker
  • Mercer Island, WA
National Provider Identifier
1467731000
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
8015 SE 28TH St
Suite 309
Mercer Island, WA 98040-2910
Phone
(206) 778-7074
NPI assigned
Aug 14, 2011
Last updated
Jun 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 60644988 WA
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

8015 SE 28TH St
Suite 309
Mercer Island, WA 98040-2910

Mailing address

8015 SE 28TH St Ste 309
Mercer Island, WA 98040-2910
Phone (206) 236-1294

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.MercerIslandTherapy.com

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

State licenses

LicenseStateTypeSpecialty
60644988WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1313280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1467731000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 SE 28TH ST STE 309",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402910",
            "telephone_number": "206-236-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 SE 28TH ST",
            "address_2": "SUITE 309",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402910",
            "telephone_number": "206-778-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINBERG",
        "first_name": "LIAT",
        "middle_name": "TAMAR",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-14",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60644988",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.MercerIslandTherapy.com",
            "affiliation": "N",
            "address_1": "8015 SE 28th St",
            "address_2": "Suite 309",
            "city": "Mercer Island",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980402910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.