Individual provider Active NPI

Lisa Renee Yeager, MSW

  • Clinical Social Worker
  • Bellingham, WA
National Provider Identifier
1689704520
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00008224 Issued in WA
Practice address
214 N Commercial St
Bellingham, WA 98225-4410
Phone
(360) 685-1997
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00008224 WA Primary
Counselor 101Y00000X RC00051897 WA

Addresses

Primary practice location

214 N Commercial St
Bellingham, WA 98225-4410

Mailing address

214 N Commercial St
Bellingham, WA 98225-4410
Phone (360) 685-1997

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
I20070521000435 WA Practitioner - Clinical Social Worker 3870690126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Integrative Medicine of Seattle Institute PLLCGroup PAC ID 6002155595, 4 clinicians

Practice addresses (Care Compare)

1136 Poplar PL S
Seattle, WA 98144-2834
Phone (206) 420-1321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RC00051897WAMDCounselor
LW00008224WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Integrative Medicine of Seattle Institute, PLLC CurrentSince May 1, 2020 Accepting new patients

Locations

1136 Poplar Pl S
Seattle, WA 98144
Phone (206) 420-1321

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1689704520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N COMMERCIAL ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254410",
            "telephone_number": "360-685-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N COMMERCIAL ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254410",
            "telephone_number": "360-685-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008224",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00051897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.