Individual provider Active NPI

Gary McLuskie, MSW, LICSW

  • Clinical Social Worker
  • Spokane Valley, WA
National Provider Identifier
1811138142
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW 60039503 Issued in WA
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

Updated by the provider on May 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401002543 ID Practitioner - Clinical Social Worker 7315385069 Reassigns benefits to 1 organization

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
Mind Matters LLCGroup PAC ID 5890106918, 5 clinicians

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

LicenseStateTypeSpecialty
LW 60039503WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Matters LLC CurrentSince Jan 30, 2024 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.

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

Verify at the official NPI Registry.