Active NPI
Louie Gabriele Hallie, LICSW
- Clinical Social Worker
- Tacoma, WA
National Provider Identifier
1801036694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00005315
- Practice address
- 2205 N. 30TH St.
Suite B
Tacoma, WA 98403 - Phone
- (253) 272-5059
- NPI assigned
- Mar 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW00005315 | WA | Primary |
Addresses
Primary practice location
2205 N. 30TH St.
Suite B
Tacoma, WA 98403
Mailing address
2205 N. 30TH St.
Suite B
Tacoma, WA 98403
Phone (253) 272-5059
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1801036694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 N. 30TH ST.",
"address_2": "SUITE B",
"city": "TACOMA",
"state": "WA",
"postal_code": "98403",
"telephone_number": "253-272-5059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 N. 30TH ST.",
"address_2": "SUITE B",
"city": "TACOMA",
"state": "WA",
"postal_code": "98403",
"telephone_number": "253-272-5059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLIE",
"first_name": "LOUIE",
"middle_name": "GABRIELE",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-06",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00005315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.