Active NPI
Mindy Stern, LSW
- Social Worker
- Mercer Island, WA
National Provider Identifier
1821151739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LW00004730
- Practice address
- 4047 96TH Ave SE
Mercer Island, WA 98040-4231 - Phone
- (206) 605-6095
- NPI assigned
- Dec 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LW00004730 | WA | Primary |
Addresses
Primary practice location
4047 96TH Ave SE
Mercer Island, WA 98040-4231
Mailing address
PO Box 172
Mercer Island, WA 98040-0172
Phone (206) 605-6095
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00004730 | WA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242000000000",
"number": "1821151739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 172",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980400172",
"telephone_number": "206-605-6095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4047 96TH AVE SE",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980404231",
"telephone_number": "206-605-6095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "MINDY",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2009-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW00004730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mercer Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.