Samantha Sundberg

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

11505 Eastridge Dr NE Apt 225
Redmond, WA 98053-5755

Phone

(425) 223-8066

NPI assigned

Nov 1, 2018

Last updated

Dec 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1699242214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11505 EASTRIDGE DR NE APT 225",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11505 EASTRIDGE DR NE APT 225",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535755",
            "telephone_number": "425-223-8066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26401 Pacific Hwy S",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "WA",
            "postal_code": "981989247",
            "country_code": "US",
            "telephone_number": "253-833-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDBERG",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sukun Counseling PLLC (Sukun Counseling)
• Mary Catherine Sullivan
• Sandra J. Sultan, M.D.
• Michael C Sun, RPH
• Danette Marie Sundberg, MA, LMHC
• Eleah Sunde, PHD
• Susan P Wynne PLLC (Eastside Vision Care)
• Cynthia L Svensson, PT, DPT
• Albaraa Swaid, DDS MS
• Andrea Swanson, MA

• Social Worker in Redmond, WA
• Providers in Redmond, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.