Active NPI
Yvonne Anderson, MSW
- Clinical Social Worker
- Spokane, WA
National Provider Identifier
1679200364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 222 W Mission Ave Ste 122
Spokane, WA 99201-2345 - Phone
- (509) 842-0067
- NPI assigned
- Aug 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
222 W Mission Ave Ste 122
Spokane, WA 99201-2345
Mailing address
222 W Mission Ave Ste 122
Spokane, WA 99201-2345
Phone (509) 842-0067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC61330165 | Other | WA | WA STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://traumainformedtherapies.com/ |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trauma Informed Therapies | Clinical | Past | Accepting new patients |
| A Refuge: Trauma Informed Therapies, a Nonprofit Organization | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Spokane, WA
- NPI 1457916710
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1679200364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 W MISSION AVE STE 122",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012345",
"telephone_number": "509-842-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 W MISSION AVE STE 122",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012345",
"telephone_number": "509-842-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "YVONNE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-03",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE LICENSE",
"identifier": "SC61330165",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://traumainformedtherapies.com/",
"affiliation": "N",
"endpointDescription": "Website",
"address_1": "222 W Mission Ave Ste 122",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992012345",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.