Active NPI
Margarita Baldonado, LICSW
- Clinical Social Worker
- Tumwater, WA
National Provider Identifier
1710429246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC60479623
- Practice address
- 3285 Ferguson St SW
Tumwater, WA 98512-6192 - Phone
- (360) 943-1907
- NPI assigned
- Nov 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC60479623 | WA | Primary |
Addresses
Primary practice location
3285 Ferguson St SW
Tumwater, WA 98512-6192
Mailing address
908 5TH Ave SE
Olympia, WA 98501-1507
Phone (360) 754-2423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC60479623 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1710429246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 5TH AVE SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011507",
"telephone_number": "360-754-2423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3285 FERGUSON ST SW",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985126192",
"telephone_number": "360-943-1907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDONADO",
"first_name": "MARGARITA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-15",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC60479623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.