Individual provider Active NPI

Kipp Lee Helmer, MSW

  • Clinical Social Worker
  • Spokane Valley, WA
National Provider Identifier
1699005249
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW 60127704 Issued in WA
Practice address
1616 S Clinton Rd
Spokane Valley, WA 99216-0420
Phone
(509) 824-3229
Fax
(509) 323-1607
NPI assigned
Jan 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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 LW 60127704 WA Primary

Addresses

Primary practice location

1616 S Clinton Rd
Spokane Valley, WA 99216-0420

Mailing address

1503 W 7TH Ave
Spokane, WA 99204-3412
Phone (509) 747-7147

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
I20101122001277 WA Practitioner - Clinical Social Worker 3779779319 Practice locations: Spokane, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4511 S Ranger Rd
Spokane, WA 99224-6122
Phone (509) 710-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW 60127704WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sandalwood Counseling and Coaching, PLLC Clinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1699005249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 W 7TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043412",
            "telephone_number": "509-747-7147",
            "fax_number": "509-747-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 S CLINTON RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160420",
            "telephone_number": "509-824-3229",
            "fax_number": "509-323-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMER",
        "first_name": "KIPP",
        "middle_name": "LEE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60127704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.