Active NPI
Noelle Lufkin Livernois, MSW, LICSW
- Clinical Social Worker
- Spokane, WA
National Provider Identifier
1720490659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60969459
- Practice address
- 107 S Division St
Spokane, WA 99202-1510 - Phone
- (509) 838-4651
- NPI assigned
- May 27, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LW60908861 | WA | |
| Clinical Social Worker | 1041C0700X | LW60908861 | WA | |
| Clinical Social Worker | 1041C0700X | LW60969459 | WA | Primary |
Addresses
Primary practice location
107 S Division St
Spokane, WA 99202-1510
Mailing address
107 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651
Other practice location 1
1603 NW 7th Ave
First Floor
Miami, FL 33136-1415
Phone (305) 374-1065 ext. 509
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720490659 | Medicaid | WA |
Other names 1
- Noelle Elizabeth Lufkin
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60908861 | WA | MD | Social Worker |
| LW60969459 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1720490659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 S DIVISION ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021510",
"telephone_number": "509-838-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S DIVISION ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021510",
"telephone_number": "509-838-4651"
}
],
"practiceLocations": [
{
"address_1": "1603 NW 7th Ave",
"address_2": "First Floor",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361415",
"country_code": "US",
"telephone_number": "305-374-1065 x509",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIVERNOIS",
"first_name": "NOELLE",
"middle_name": "LUFKIN",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW60908861",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60908861",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60969459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720490659",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NOELLE",
"last_name": "LUFKIN",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.