Active NPI
Douglas R. Fender, LICSW, RN
- Clinical Social Worker
- Spokane, WA
National Provider Identifier
1740418276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60278349
- Practice address
- 705 W 2ND Ave
Spokane, WA 99201-4412 - Phone
- (509) 462-2500
- Fax
- (509) 462-2503
- NPI assigned
- Jun 23, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00173898 | WA | |
| Clinical Social Worker | 1041C0700X | LW60278349 | WA | Primary |
Addresses
Primary practice location
705 W 2ND Ave
Spokane, WA 99201-4412
Mailing address
705 W 2ND Ave
Spokane, WA 99201-4412
Phone (509) 462-2500
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60278349 | WA | MD | Clinical Social Worker |
| RN00173898 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1740418276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 W 2ND AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992014412",
"telephone_number": "509-462-2500",
"fax_number": "509-462-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 W 2ND AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992014412",
"telephone_number": "509-462-2500",
"fax_number": "509-462-2503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENDER",
"first_name": "DOUGLAS",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "LICSW, RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-23",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00173898",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60278349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.