Individual provider Active NPI

Lalonie Laquetta Bentz, LICSWA

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1619556073
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61356242 Issued in WA
Practice address
3326 E Hills CT
Spokane, WA 99202-5352
Phone
(509) 593-0998
NPI assigned
Apr 5, 2021
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 LW61356242 WA Primary

Addresses

Primary practice location

3326 E Hills CT
Spokane, WA 99202-5352

Mailing address

3326 E Hills CT
Spokane, WA 99202-5352
Phone (509) 593-0998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240821004702 WA Practitioner - Clinical Social Worker 3072052067 Practice locations: Spokane, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW61356242WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LB Mental Health PLLC Clinical CurrentSince Apr 28, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1619556073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 E HILLS CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025352",
            "telephone_number": "509-593-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 E HILLS CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025352",
            "telephone_number": "509-593-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTZ",
        "first_name": "LALONIE",
        "middle_name": "LAQUETTA",
        "credential": "LICSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61356242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.