Stephanie Sisson, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00008225 Issued in WA

Practice address

4533 13TH Ave SE
Lacey, WA 98503-2321

Phone

(360) 930-9838

NPI assigned

Mar 2, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Stephanie Sisson

  • Clinical Social Worker
  • Lacey, WA
  • NPI 1710347836
  NPD (past) Authorized official

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1699135707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 13TH AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032321",
            "telephone_number": "360-930-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 13TH AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032321",
            "telephone_number": "360-930-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSON",
        "first_name": "STEPHANIE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simply Thrive Psychotherapy PLLC
• Myrna N Simpson, RN
• Sean S Sipe, PT, DPT, SCS
• Lori A Sirs, LICSW
• Kaitlyn Dawn Sisk
• Raj Sitapara
• Stormie Gail Skelton
• Lisa Skinner
• John Daniel Skipper Jr., DMD
• Katherine Skipworth

• Clinical Social Worker in Lacey, WA
• Providers in Lacey, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.