Individual provider Active NPI

Lori A Sirs, LICSW

  • Clinical Social Worker
  • Lacey, WA
National Provider Identifier
1811062243
Registry record updated Jul 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW-60711928 Issued in WA
Practice address
4313 6TH Ave SE Ste C
Lacey, WA 98503-1072
Phone
(208) 250-5133
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-29456 ID
Clinical Social Worker 1041C0700X LW-60711928 WA Primary

Addresses

Primary practice location

4313 6TH Ave SE Ste C
Lacey, WA 98503-1072

Mailing address

4313 6TH Ave SE Ste C
Lacey, WA 98503-1072
Phone (208) 250-5133

Other practice location 1

1916 S Washington St
Tacoma, WA 98405-1025
Phone (253) 301-8337 ext. 18337

Other identifiers 1

IdentifierTypeStateIssuer
LW60711928OtherWALICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lacey 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

LicenseStateTypeSpecialty
LCSW-29456IDMDClinical Social Worker
LW-60711928WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Connections Counseling & Consulting, LLC Past 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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564185600000",
    "number": "1811062243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 6TH AVE SE STE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031072",
            "telephone_number": "208-250-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 6TH AVE SE STE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031072",
            "telephone_number": "208-250-5133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1916 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051025",
            "country_code": "US",
            "telephone_number": "253-301-8337 x18337",
            "fax_number": "208-333-0888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIRS",
        "first_name": "LORI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2019-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-29456",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW-60711928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LW60711928",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lacey",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Lacey",
            "address_1": "4313 6th Ave SE Ste C",
            "city": "Lacey",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985031072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2019; 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.