Individual provider Active NPI

Lindsey Canley, LICSWA

  • Clinical Social Worker
  • Federal Way, WA
National Provider Identifier
1477069052
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC60493181 Issued in WA
Practice address
33720 9TH Ave S Ste 7
Federal Way, WA 98003-6735
Phone
(253) 944-1014
NPI assigned
Dec 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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 SC60493181 WA Primary

Addresses

Primary practice location

33720 9TH Ave S Ste 7
Federal Way, WA 98003-6735

Mailing address

33720 9TH Ave S Ste 7
Federal Way, WA 98003-6735
Phone (253) 944-1014

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
SC60493181WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1477069052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33720 9TH AVE S STE 7",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036735",
            "telephone_number": "253-944-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33720 9TH AVE S STE 7",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036735",
            "telephone_number": "253-944-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANLEY",
        "first_name": "LINDSEY",
        "credential": "LICSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60493181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.