Active NPI
Christina Sand, LICSW
- Social Worker
- Renton, WA
National Provider Identifier
1790380335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 66950781
- Practice address
- 600 Oakesdale Ave SW Ste 104
Renton, WA 98057-5226 - Phone
- (425) 228-5336
- Fax
- (425) 228-4540
- NPI assigned
- Dec 2, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 66950781 | WA | Primary |
| Clinical Social Worker | 1041C0700X | LW66950781 | WA |
Addresses
Primary practice location
600 Oakesdale Ave SW Ste 104
Renton, WA 98057-5226
Mailing address
600 Oakesdale Ave SW Ste 104
Renton, WA 98057-5226
Phone (425) 228-5336
Other practice location 1
16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 901-8582
Other practice location 2
11511 NE 10th St
Bellevue, WA 98004-8578
Phone (425) 502-3000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 66950781 | WA | MD | Social Worker |
| LW66950781 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Social Worker | Past | Accepting new patients |
Interoperability endpoints
- lifestancehealth.christinasand@147765.advancedmd-direct.com
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.
-
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1790380335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKESDALE AVE SW STE 104",
"city": "RENTON",
"state": "WA",
"postal_code": "980575226",
"telephone_number": "425-228-5336",
"fax_number": "425-228-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 OAKESDALE AVE SW STE 104",
"city": "RENTON",
"state": "WA",
"postal_code": "980575226",
"telephone_number": "425-228-5336",
"fax_number": "425-228-4540"
}
],
"practiceLocations": [
{
"address_1": "16251 Sylvester Rd SW",
"address_purpose": "LOCATION",
"city": "Burien",
"state": "WA",
"postal_code": "981663017",
"country_code": "US",
"telephone_number": "206-901-8582",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11511 NE 10th St",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980048578",
"country_code": "US",
"telephone_number": "425-502-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAND",
"first_name": "CHRISTINA",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "66950781",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW66950781",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "11511 NE 10th St",
"city": "Bellevue",
"state": "WA",
"country_code": "US",
"postal_code": "980048578",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.