Individual provider Active NPI

Michelle R. Pasos

  • Clinical Social Worker
  • Yakima, WA
National Provider Identifier
1548539265
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60410840 Issued in WA
Practice address
5301 Tieton Drive, Suite C
C/O Catholic Family & Child Service
Yakima, WA 98908-3478
Phone
(509) 965-7100
Fax
(509) 966-9750
NPI assigned
Dec 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SA60242169 WA
Clinical Social Worker 1041C0700X LW60410840 WA Primary

Addresses

Primary practice location

5301 Tieton Drive, Suite C
C/O Catholic Family & Child Service
Yakima, WA 98908-3478

Mailing address

5301 Tieton Drive, Suite C
C/O Catholic Family & Child Service
Yakima, WA 98908-3478
Phone (509) 965-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW60410840WAMDClinical Social Worker
SA60242169WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1548539265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 TIETON DRIVE, SUITE C",
            "address_2": "C/O CATHOLIC FAMILY & CHILD SERVICE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083478",
            "telephone_number": "509-965-7100",
            "fax_number": "509-966-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 TIETON DRIVE, SUITE C",
            "address_2": "C/O CATHOLIC FAMILY & CHILD SERVICE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083478",
            "telephone_number": "509-965-7100",
            "fax_number": "509-966-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASOS",
        "first_name": "MICHELLE",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SA60242169",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60410840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.