Active NPI
Norman Philip Englund, MSW
- Clinical Social Worker
- Lapush, WA
National Provider Identifier
1679808703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00004403
- Practice address
- 560 Quileute Heights
Lapush, WA 98350 - Phone
- (360) 374-4320
- Fax
- (360) 374-4326
- NPI assigned
- Oct 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LW00004403 | WA | |
| Clinical Social Worker | 1041C0700X | LW00004403 | WA | Primary |
Addresses
Primary practice location
560 Quileute Heights
Lapush, WA 98350
Mailing address
PO Box 189
La Push, WA 98350-0189
Phone (360) 374-4320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7084486 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LW00004403 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quileute Tribal Council | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinic/Center
- Lapush, WA
- NPI 1548329105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1679808703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 189",
"city": "LA PUSH",
"state": "WA",
"postal_code": "983500189",
"telephone_number": "360-374-4320",
"fax_number": "360-374-4326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 QUILEUTE HEIGHTS",
"city": "LAPUSH",
"state": "WA",
"postal_code": "98350",
"telephone_number": "360-374-4320",
"fax_number": "360-374-4326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLUND",
"first_name": "NORMAN",
"middle_name": "PHILIP",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-07",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LW00004403",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00004403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7084486",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lapush, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.