Megan M Walsh, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60860576 Issued in WA

Practice address

1407 Boalch Ave NW
North Bend, WA 98045-7994

Phone

(425) 888-3347

Fax

(425) 888-3348

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Encompass Northwest

  • Developmental Disabilities Clinic/Center
  • Snoqualmie, WA
  • NPI 1346389053
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1629127857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 BOALCH AVE NW",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980457994",
            "telephone_number": "425-888-3347",
            "fax_number": "425-888-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 BOALCH AVE NW",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980457994",
            "telephone_number": "425-888-3347",
            "fax_number": "425-888-3348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Wellesley Dr NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871071812",
            "country_code": "US",
            "telephone_number": "505-766-9361",
            "fax_number": "505-433-2260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MEGAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I-05475",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60860576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2105765",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISW",
            "identifier": "I-05475",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy C Vanooyen, OTR/L
• Rio Vega, LMT
• Verve Performance Chiropractic, PLLC
• Genealle Visagorskis, CCC-SLP
• Mikayla Paige Walrath
• Corrinna Walter
• Zachary Adam Walter, PHARMD
• Jaime Wang, OD
• Washington Counseling and Consulting PLLC
• Danielle Watson

• Clinical Social Worker in North Bend, WA
• Providers in North Bend, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.