Individual provider Active NPI

Sandra Lynn Burt, MSW, LICSW

  • Clinical Social Worker
  • Eastsound, WA
National Provider Identifier
1679516959
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00005469 Issued in WA
Practice address
1286 Mount Baker Rd
Suite B208
Eastsound, WA 98245-8931
Phone
(360) 376-7119
Fax
(360) 376-6182
NPI assigned
Jun 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00005469 WA Primary

Addresses

Primary practice location

1286 Mount Baker Rd
Suite B208
Eastsound, WA 98245-8931

Mailing address

PO Box 1794
Eastsound, WA 98245-1794
Phone (360) 376-7119

Other identifiers 5

IdentifierTypeStateIssuer
365248OtherCAMANAGED HEALTH NETWORK
NONEOtherWAMOLINA HEALTHCARE
NONEOtherCAPACIFIC CARE BEHAVIORAL H
3452BUOtherWAREGENCE BLUE SHIELD
8935548OtherWAL & I CRIME VICTIMS COMP

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
I20050725000923 WA Practitioner - Clinical Social Worker 7315974029 Practice locations: Eastsound, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18 Haven Rd
Eastsound, WA 98245-9132
Phone (360) 376-7119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Transpersonal Development Past Accepting new patients
Full Circle Counseling and Recovery, LLC 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, 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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679516959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1794",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982451794",
            "telephone_number": "360-376-7119",
            "fax_number": "360-376-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 MOUNT BAKER RD",
            "address_2": "SUITE B208",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982458931",
            "telephone_number": "360-376-7119",
            "fax_number": "360-376-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "365248",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE",
            "identifier": "NONE",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC CARE BEHAVIORAL H",
            "identifier": "NONE",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "3452BU",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I CRIME VICTIMS COMP",
            "identifier": "8935548",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastsound, WA

Sources for this page

Verify at the official NPI Registry.