Individual provider Active NPI

Natosha Scheenstra, MSW, LICSW, CMHS

  • Clinical Social Worker
  • Ferndale, WA
National Provider Identifier
1790970457
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60618408 Issued in WA
Practice address
5416 Sorrell TRL Unit 102
Ferndale, WA 98248-2136
Phone
(360) 583-6310
Fax
(866) 279-1127
NPI assigned
Sep 6, 2007
Last updated
Jul 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X RC00057854 WA
Clinical Social Worker 1041C0700X LW60618408 WA Primary

Addresses

Primary practice location

5416 Sorrell TRL Unit 102
Ferndale, WA 98248-2136

Mailing address

336 36TH St # 812
Bellingham, WA 98225-6580
Phone (360) 303-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 9, 2024 through Apr 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RC00057854WAMDCounselor
LW60618408WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1790970457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 36TH ST # 812",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256580",
            "telephone_number": "360-303-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 SORRELL TRL UNIT 102",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982482136",
            "telephone_number": "360-583-6310",
            "fax_number": "866-279-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEENSTRA",
        "first_name": "NATOSHA",
        "name_prefix": "Miss",
        "credential": "MSW, LICSW, CMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00057854",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60618408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, WA

Sources for this page

Verify at the official NPI Registry.