Individual provider Active NPI

Elizabeth Marie Noll, SC 60925842

  • Social Worker
  • Lakewood, WA
National Provider Identifier
1770174146
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
60925842 Issued in WA
Practice address
5900 100TH St SW Ste 17B
Lakewood, WA 98499-2749
Phone
(253) 625-5942
NPI assigned
Jan 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X SC60925842 WA
Social Worker 104100000X 60925842 WA Primary

Addresses

Primary practice location

5900 100TH St SW Ste 17B
Lakewood, WA 98499-2749

Mailing address

6122 Lakewood Dr W Apt 6
University Place, WA 98467-3406
Phone (253) 314-9252

Other practice location 1

33301 1st Way S # C140
Federal Way, WA 98003-6252
Phone (253) 625-5942

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

LicenseStateTypeSpecialty
60925842WAMDSocial Worker
SC60925842WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Counseling Services NW LLC PastSince Jan 31, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1770174146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6122 LAKEWOOD DR W APT 6",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673406",
            "telephone_number": "253-314-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 100TH ST SW STE 17B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992749",
            "telephone_number": "253-625-5942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33301 1st Way S # C140",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980036252",
            "country_code": "US",
            "telephone_number": "253-625-5942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLL",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "SC 60925842",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC60925842",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "60925842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.