Sundance Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUNDANCE COUNSELING LLC

Practice address

17007 11TH PL W
Lynnwood, WA 98037-3342

Phone

(269) 720-6947

Fax

(269) 443-2166

NPI assigned

Jan 3, 2020

Organization subpart

No

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

Authorized official

Name

Bridget Bracken

Title

Billing Manager

Phone

(248) 939-1762

Specialties & licenses 1

Addresses

Other names 1

• Maureen Bauschke, LMSW PLLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maureen D Cafarelli, LMSW

  • Clinical Social Worker
  • Kalamazoo, MI
  • NPI 1003255118
  NPD

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1730728049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17007 11TH PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980373342",
            "telephone_number": "269-720-6947",
            "fax_number": "269-443-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17007 11TH PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980373342",
            "telephone_number": "269-720-6947",
            "fax_number": "269-443-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "BRACKEN",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "248-939-1762"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maureen Bauschke, LMSW PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Social Worker in Lynnwood, WA
• Providers in Lynnwood, 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 Oct 17, 2023; 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.