Active NPI
Lori A Sirs, LICSW
- Clinical Social Worker
- Lacey, WA
National Provider Identifier
1811062243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW-60711928
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LW60711928 | Other | WA | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-29456 | ID | MD | Clinical Social Worker |
| LW-60711928 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Adolescent and Children Mental Health Clinic/Center
- Lacey, WA
- NPI 1235594201
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.