Active NPI
Sheri Starbird Weistaner, LCSW
- Clinical Social Worker
- Coeur D Alene, ID
National Provider Identifier
1578869780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-32289
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-32289 | ID | MD | Clinical 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.