Individual provider Active NPI

Sabrina M. Sheehy, LCSW, MSW

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1629269964
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L5058 Issued in OR
Practice address
601 Main St Ste 300
Vancouver, WA 98660-3404
Phone
(503) 307-8966
Fax
(503) 914-1449
NPI assigned
Aug 1, 2007
Last updated
Feb 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60300012 WA
Clinical Social Worker 1041C0700X L5058 OR Primary

Addresses

Primary practice location

601 Main St Ste 300
Vancouver, WA 98660-3404

Mailing address

601 Main St Ste 300
Vancouver, WA 98660-3404
Phone (503) 307-8966

Other practice location 1

8532 N Ivanhoe St
Suite 205
Portland, OR 97203-4827
Phone (503) 307-8966

Other names 1

  • Sabrina M. Walyer Former name

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

LicenseStateTypeSpecialty
L5058ORMDClinical Social Worker
LW60300012WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thriving Roots Counseling, LLC Clinical CurrentSince Aug 13, 2023 Accepting new patients

Locations

601 Main St
Ste 300
Vancouver, WA 98660
Phone (360) 609-7188

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1629269964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MAIN ST STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603404",
            "telephone_number": "503-307-8966",
            "fax_number": "503-914-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MAIN ST STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603404",
            "telephone_number": "503-307-8966",
            "fax_number": "503-914-1449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8532 N Ivanhoe St",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972034827",
            "country_code": "US",
            "telephone_number": "503-307-8966",
            "fax_number": "678-693-5677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEEHY",
        "first_name": "SABRINA",
        "middle_name": "M.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60300012",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINA",
            "last_name": "WALYER",
            "middle_name": "M.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.