Active NPI
Laurie a Sirotkin MSW Licsw PLLC
- Clinical Social Worker
- Lynnwood, WA
National Provider Identifier
1497228209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurie Sirotkin, MSW LICSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2040618 | Medicaid | WA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Lynnwood, WA
- NPI 1598912594
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.