Peggy Stanley, LICSW, CHHS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60246339 Issued in WA

Practice address

16720 North Rd Apt F104
Bothell, WA 98012-5989

Phone

(425) 218-1131

NPI assigned

Oct 7, 2011

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1508140567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16720 NORTH RD APT F104",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980125989",
            "telephone_number": "425-218-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16720 NORTH RD APT F104",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980125989",
            "telephone_number": "425-218-1131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2722 Colby Ave",
            "address_2": "Suite 610",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982013557",
            "country_code": "US",
            "telephone_number": "425-257-1621",
            "fax_number": "425-257-1767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "PEGGY",
        "credential": "LICSW, CHHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60246339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Jacques Consulting Group LLC
• Kevin Wayne St Jacques, PSY.D., LMHC
• Kylani St. Clair
• Chloe Jean St. Onge
• Kathleen R Stabbert, LMHC
• Starting Point Acupuncture and Wellness, PLLC
• Steen and Peysakhov PLLC (Bothell Oral, Maxillofacial & Implant Surgery)
• Christopher William Steen, D.D.D, M.D.
• Emily Stein
• Jan Stemple, RN

• Clinical Social Worker in Bothell, WA
• Providers in Bothell, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.