Individual provider Active NPI

Leslie Stangeland, LMSW

  • Social Worker
  • Coeur d'Alene, ID
National Provider Identifier
1639571037
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW 34037 Issued in ID
Practice address
7905 N Meadowlark Way
Suite a and B
Coeur D Alene, ID 83815-5041
Phone
(208) 772-3116
Fax
(208) 772-7677
NPI assigned
Sep 17, 2014
Last updated
Sep 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW 34037 ID Primary

Addresses

Primary practice location

7905 N Meadowlark Way
Suite a and B
Coeur D Alene, ID 83815-5041

Mailing address

7905 N Meadowlark Way
Suite a and B
Coeur D Alene, ID 83815-5041
Phone (208) 772-3116

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
LMSW 34037IDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1639571037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 N MEADOWLARK WAY",
            "address_2": "SUITE A AND B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838155041",
            "telephone_number": "208-772-3116",
            "fax_number": "208-772-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 N MEADOWLARK WAY",
            "address_2": "SUITE A AND B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838155041",
            "telephone_number": "208-772-3116",
            "fax_number": "208-772-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGELAND",
        "first_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW 34037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.