Individual provider Active NPI

Suzanne Ward, MSW LICSWA

  • Social Worker
  • Republic, WA
National Provider Identifier
1487082418
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LW61238348 Issued in WA
Practice address
65 North Keller Street
Republic, WA 99166-1120
Phone
(509) 775-3341
NPI assigned
Oct 30, 2013
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X SC60419515 WA
Social Worker 104100000X LW61238348 WA Primary

Addresses

Primary practice location

65 North Keller Street
Republic, WA 99166-1120

Mailing address

PO Box 1120
65 North Keller St.
Republic, WA 99166-1120
Phone (509) 775-3341

Other names 1

  • Suzanne Sonne 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
I20220706001662 WA Practitioner - Clinical Social Worker 9234519430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stevens CountyGroup PAC ID 2466349394, 12 clinicians

Practice addresses (Care Compare)

165 E Hawthorne Ave
Colville, WA 99114-2629
Phone (509) 684-4597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC60419515WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens County CurrentSince Mar 22, 2022 Accepting new patients
Stevens County CurrentSince Mar 22, 2022 Accepting new patients
Stevens County Past Accepting new patients

Locations

165 E Hawthorne Ave
Colville, WA 99114
Phone (509) 684-4597

Organizations & group practices 3

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": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1487082418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1120",
            "address_2": "65 NORTH KELLER ST.",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991661120",
            "telephone_number": "509-775-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NORTH KELLER STREET",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991661120",
            "telephone_number": "509-775-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "MSW LICSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "SC60419515",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW61238348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "SONNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Republic, WA

Sources for this page

Verify at the official NPI Registry.