Active NPI
Michelle R. Pasos
- Clinical Social Worker
- Yakima, WA
National Provider Identifier
1548539265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60410840
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LW60410840 | WA | MD | Clinical Social Worker |
| SA60242169 | WA | MD | Clinical 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.