Active NPI
Lydia Saule Huber, MSW, LICSW, C-SSWS
- Clinical Social Worker
- Federal Way, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60035034
- Practice address
- 33919 9TH Ave S
Federal Way, WA 98003-6742 - Phone
- (206) 228-3537
- NPI assigned
- May 19, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW60035034 | WA | Primary |
| School Social Worker | 1041S0200X | 430139F | WA |
Addresses
Primary practice location
33919 9TH Ave S
Federal Way, WA 98003-6742
Mailing address
33919- 9TH Ave S
Des Moines, WA 98003
Phone (206) 228-3537
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12900 NE 180TH St
Suite 201
Bothell, WA 98011-5773
Phone (206) 910-9476
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60035034 | WA | MD | Clinical Social Worker |
| 430139F | WA | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Clinical | Current | Accepting new patients |
| Western Psychological and Counseling Services LLC | Clinical | Past | Accepting new patients |
| Arch Behavioral Health, LLC | Clinical | Past | Accepting new patients |
| Crescent Psychiatry PLLC | Past | Accepting new patients |
Locations
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698
320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113
Organizations & group practices 5
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.
-
dba LifeStance Health
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
-
dba Mindful Therapy Group
- Clinical Social Worker
- Mountlake Terrace, WA
- NPI 1316238678
-
- Clinical Social Worker
- Tacoma, WA
- NPI 1669755203
-
- Clinical Psychologist
- Lakewood, WA
- NPI 1245462134
-
dba LifeStance Health
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1710112834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33919- 9TH AVE S",
"city": "DES MOINES",
"state": "WA",
"postal_code": "98003",
"telephone_number": "206-228-3537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33919 9TH AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036742",
"telephone_number": "206-228-3537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBER",
"first_name": "LYDIA",
"middle_name": "SAULE",
"name_prefix": "Ms.",
"credential": "MSW, LICSW, C-SSWS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60035034",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "WA",
"license": "430139F",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.