Individual provider Active NPI

Cristen Marie Seiders, LCSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1588238570
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61499567 Issued in WA
Practice address
100 N Howard St Ste W
Spokane, WA 99201-0508
Phone
(217) 691-7727
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149023234 IL
Clinical Social Worker 1041C0700X 9309-C NV
Clinical Social Worker 1041C0700X LW61499567 WA Primary

Addresses

Primary practice location

100 N Howard St Ste W
Spokane, WA 99201-0508

Mailing address

2393 Wild Ginger LN
Las Vegas, NV 89134-6001
Phone (217) 691-7727

Other practice location 1

2780 S Jones Blvd
Las Vegas, NV 89146-5628
Phone (702) 820-3061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210614002830 NV Practitioner - Clinical Social Worker 6901206846 Reassigns benefits to 2 organizations
I20240327003463 WA Practitioner - Clinical Social Worker 6901206846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
True Life Coaching LLCGroup PAC ID 4981969771, 8 clinicians
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

2780 S Jones Blvd
Las Vegas, NV 89146-5625
Phone (702) 935-0025

6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009

8215 S Eastern Ave
Suite 109
Las Vegas, NV 89123-2515
Phone (775) 902-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149023234ILMDClinical Social Worker
9309-CNVMDClinical Social Worker
LW61499567WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Clinical CurrentSince Mar 15, 2024 Accepting new patients
True Life Coaching LLC CurrentSince Jun 8, 2021 Accepting new patients

Locations

2920 N Green Valley Pkwy
Ste 312
Henderson, NV 89014
Phone (702) 253-1173

2780 S Jones Blvd
Ste 205
Las Vegas, NV 89146
Phone (702) 217-8030

4670 S Fort Apache Rd
Ste 180
Las Vegas, NV 89147
Phone (402) 830-4255

8215 S Eastern Ave
Ste 109
Las Vegas, NV 89123
Phone (775) 902-8300

2780 S Jones Blvd
Ste 115D
Las Vegas, NV 89146
Phone (702) 935-0025

2780 S Jones Blvd
Ste 100A
Las Vegas, NV 89146
Phone (702) 233-6694

2550 Nature Park Dr
Ste 210
North Las Vegas, NV 89084
Phone (702) 935-0025

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1588238570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2393 WILD GINGER LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346001",
            "telephone_number": "217-691-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST STE W",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "217-691-7727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2780 S Jones Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465628",
            "country_code": "US",
            "telephone_number": "702-820-3061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIDERS",
        "first_name": "CRISTEN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2024-01-04",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023234",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9309-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61499567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.