Individual provider Active NPI

Trish Ann Ferreira, LICSW, CDP

  • Clinical Social Worker
  • Normandy Park, WA
National Provider Identifier
1790832418
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00008193 Issued in WA
Practice address
19655 1St Ave S
Ste 206
Normandy Park, WA 98148-2172
Phone
(206) 499-7623
NPI assigned
Jan 4, 2007
Last updated
May 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00008193 WA Primary

Addresses

Primary practice location

19655 1St Ave S
Ste 206
Normandy Park, WA 98148-2172

Mailing address

2107 41St Ave SW
Seattle, WA 98116-2023
Phone (206) 499-7623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528001259 WA Practitioner - Clinical Social Worker 9234110719 Practice locations: Des Moines, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22525 Marine View Dr S
Suite 205
Des Moines, WA 98198-6879
Phone (206) 499-7623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gail a Truitt Licsw Counseling Services S Corp PastSince Nov 27, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1790832418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 41ST AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162023",
            "telephone_number": "206-499-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19655 1ST AVE S",
            "address_2": "STE 206",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482172",
            "telephone_number": "206-499-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "TRISH",
        "middle_name": "ANN",
        "credential": "LICSW, CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normandy Park, WA

Sources for this page

Verify at the official NPI Registry.