Individual provider Active NPI

Marci Sweet, LICSW, MSW

  • Clinical Social Worker
  • Woodinville, WA
National Provider Identifier
1487056131
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60907579 Issued in WA
Practice address
13149 NE 202ND CT
Woodinville, WA 98072-5739
Phone
(509) 703-3369
NPI assigned
Sep 24, 2014
Last updated
Aug 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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 LW60907579 WA Primary

Addresses

Primary practice location

13149 NE 202ND CT
Woodinville, WA 98072-5739

Mailing address

PO Box 2512
Woodinville, WA 98072-2512
Phone (509) 703-3369

Other practice location 1

9330 59th Ave SW
Lakewood, WA 98499-2858
Phone (253) 620-5015

Other names 1

  • Marci Lynn Sonnenberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191018000229 WA Practitioner - Clinical Social Worker 4486985785

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 2512
Woodinville, WA 98072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60907579WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Waterton Counseling PLLC Clinical CurrentSince Aug 22, 2019 Accepting new patients

Locations

13303 NE 175th St
#A
Woodinville, WA 98072
Phone (253) 254-5126

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1487056131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2512",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980722512",
            "telephone_number": "509-703-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13149 NE 202ND CT",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980725739",
            "telephone_number": "509-703-3369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9330 59th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984992858",
            "country_code": "US",
            "telephone_number": "253-620-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEET",
        "first_name": "MARCI",
        "credential": "LICSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60907579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCI",
            "last_name": "SONNENBERG",
            "middle_name": "LYNN",
            "credential": "LICSW, MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodinville, WA

Sources for this page

Verify at the official NPI Registry.