Organization Active NPI

Laurie a Sirotkin MSW Licsw PLLC

  • Clinical Social Worker
  • Lynnwood, WA
National Provider Identifier
1497228209
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LAURIE A SIROTKIN MSW LICSW PLLC
Practice address
19101 36TH Ave W Ste 208
Lynnwood, WA 98036-5759
Phone
(888) 365-3637
Fax
(425) 483-1841
NPI assigned
Jan 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Laurie Sirotkin, MSW LICSWNPI 1598912594
Title
Provider
Phone
(888) 365-3637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

19101 36TH Ave W Ste 208
Lynnwood, WA 98036-5759

Mailing address

PO Box 15178
Mill Creek, WA 98082-3178
Phone (888) 365-3637

Other identifiers 1

IdentifierTypeStateIssuer
2040618MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1497228209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15178",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980823178",
            "telephone_number": "888-365-3637",
            "fax_number": "425-483-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19101 36TH AVE W STE 208",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365759",
            "telephone_number": "888-365-3637",
            "fax_number": "425-483-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE A SIROTKIN MSW LICSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "SIROTKIN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "888-365-3637",
        "authorized_official_credential": "MSW LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2040618",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.