NPIMap

Organization Active NPI

Sandalwood Counseling and Coaching, PLLC

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1588958359
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00006436 Issued in WA
Legal business name
SANDALWOOD COUNSELING AND COACHING, PLLC
Practice address
1503 W 7TH Ave
Spokane, WA 99204-3412
Phone
(509) 747-7147
Fax
(509) 747-3828
NPI assigned
Jun 8, 2011
Last updated
Jun 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
David Stanzak, LICSWNPI 1063518223
Title
Member
Phone
(509) 747-7147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LW00006436 WA Primary

Addresses

Primary practice location

1503 W 7TH Ave
Spokane, WA 99204-3412

Mailing address

1503 W 7TH Ave
Spokane, WA 99204-3412
Phone (509) 747-7147

National Provider Directory

National Provider Directory

Locations

1503 W 7th Ave
Spokane, WA 99204
Phone (509) 747-7147

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1588958359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 W 7TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043412",
            "telephone_number": "509-747-7147",
            "fax_number": "509-747-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 W 7TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043412",
            "telephone_number": "509-747-7147",
            "fax_number": "509-747-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDALWOOD COUNSELING AND COACHING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "STANZAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "509-747-7147",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00006436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.