Active NPI
Gary McLuskie, MSW, LICSW
- Clinical Social Worker
- Spokane Valley, WA
National Provider Identifier
1811138142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW 60039503
- Practice address
- 1420 N Mullan Rd
Suite L-5
Spokane Valley, WA 99206-4366 - Phone
- (509) 499-9266
- NPI assigned
- Mar 17, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | LW 60039503 | WA | Primary |
Addresses
Primary practice location
1420 N Mullan Rd
Suite L-5
Spokane Valley, WA 99206-4366
Mailing address
11218 E 43Rd Ave
Spokane Valley, WA 99206-8610
Phone (509) 499-9266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8382 N Wayne Dr
Suite 103B
Hayden, ID 83835-6028
Phone (208) 719-1030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW 60039503 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Matters LLC | Current | Accepting new patients | |
| Aim Counseling LLC | Clinical | Past | Accepting new patients |
Locations
1875 N Lakewood Dr
Ste 101
Coeur D Alene, ID 83814
Phone (208) 667-3583
8382 N Wayne Dr
Ste 103B
Hayden, ID 83835
Phone (208) 635-5658
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Coeur D Alene, ID
- NPI 1376160820
-
- Clinical Social Worker
- Spokane Valley, WA
- NPI 1134411465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1811138142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11218 E 43RD AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992068610",
"telephone_number": "509-499-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 N MULLAN RD",
"address_2": "SUITE L-5",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064366",
"telephone_number": "509-499-9266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLUSKIE",
"first_name": "GARY",
"name_prefix": "Mr.",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-17",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW 60039503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.