Individual provider Active NPI

Sheri Starbird Weistaner, LCSW

  • Clinical Social Worker
  • Coeur D Alene, ID
National Provider Identifier
1578869780
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-32289 Issued in ID
Practice address
602 E Garden Ave Ste 5
Coeur D Alene, ID 83814-2945
Phone
(208) 661-3864
Fax
(208) 981-0005
NPI assigned
Feb 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-32289 ID Primary

Addresses

Primary practice location

602 E Garden Ave Ste 5
Coeur D Alene, ID 83814-2945

Mailing address

602 E Garden Ave Ste 5
Coeur D Alene, ID 83814-2945
Phone (208) 661-3864

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
LCSW-32289IDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1578869780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E GARDEN AVE STE 5",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142945",
            "telephone_number": "208-661-3864",
            "fax_number": "208-981-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E GARDEN AVE STE 5",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142945",
            "telephone_number": "208-661-3864",
            "fax_number": "208-981-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISTANER",
        "first_name": "SHERI",
        "middle_name": "STARBIRD",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-32289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.