Individual provider Active NPI

Alyssa Danielle Pearce, MSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1497104319
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60976186 Issued in WA
Practice address
400 S Jefferson St Ste 451B
Spokane, WA 99204-3121
Phone
(509) 637-5001
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW60976186 WA
Clinical Social Worker 1041C0700X LW60976186 WA Primary

Addresses

Primary practice location

400 S Jefferson St Ste 451B
Spokane, WA 99204-3121

Mailing address

PO Box 172
Veradale, WA 99037-0172
Phone (509) 637-5001

Other practice location 1

317 N Pines Rd
Spokane Valley, WA 99206-5120
Phone (509) 838-4651

Other identifiers 1

IdentifierTypeStateIssuer
2114452MedicaidWA

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
I20200114000003 WA Practitioner - Clinical Social Worker 1759716186 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60976186WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients
Frontier Behavioral Health Social Worker CurrentSince Nov 6, 2019 Accepting new patients

Locations

107 S Division St
Spokane, WA 99202
Phone (509) 383-4651

317 N Pines Rd
Spokane Valley, WA 99206

Interoperability endpoints

  • Direct secure messaging: alyssapearce@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1497104319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172",
            "city": "VERADALE",
            "state": "WA",
            "postal_code": "990370172",
            "telephone_number": "509-637-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S JEFFERSON ST STE 451B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043121",
            "telephone_number": "509-637-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 N Pines Rd",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992065120",
            "country_code": "US",
            "telephone_number": "509-838-4651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "ALYSSA",
        "middle_name": "DANIELLE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60976186",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60976186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114452",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.