Individual provider Active NPI

Lorna Pella, LICSW, ACSW

  • School Social Worker
  • Auburn, WA
National Provider Identifier
1639817992
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
00007874 Issued in WA
Practice address
121 N Division St Ste 100
Auburn, WA 98001-4931
Phone
(253) 876-8220
Fax
(253) 876-8222
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 00007874 WA Primary

Addresses

Primary practice location

121 N Division St Ste 100
Auburn, WA 98001-4931

Mailing address

1809 21St St NE
Auburn, WA 98002-3446
Phone (253) 797-3161

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
I20220611000348 WA Practitioner - Clinical Social Worker 3870971302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00007874WAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince May 19, 2022 Accepting new patients
Multicare Health System CurrentSince May 19, 2022 Accepting new patients
Multicare Health System Current Accepting new patients

Locations

121 N Division St
Ste 100
Auburn, WA 98001
Phone (253) 876-8200

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1639817992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 21ST ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980023446",
            "telephone_number": "253-797-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N DIVISION ST STE 100",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980014931",
            "telephone_number": "253-876-8220",
            "fax_number": "253-876-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLA",
        "first_name": "LORNA",
        "credential": "LICSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "WA",
            "license": "00007874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.