Active NPI
Jennifer Stallings, MSW, LSWAIC
- Clinical Social Worker
- Redmond, WA
National Provider Identifier
1831696327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 60681926
- Practice address
- 16150 NE 85TH St Ste 220
Redmond, WA 98052-3546 - Phone
- (425) 558-0558
- NPI assigned
- Apr 10, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 60681926 | WA | Primary |
Addresses
Primary practice location
16150 NE 85TH St Ste 220
Redmond, WA 98052-3546
Mailing address
16150 NE 85TH St Ste 220
Redmond, WA 98052-3546
Phone (425) 558-0558
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 |
|---|---|---|---|
| 60681926 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandbox Therapy Group, Inc. | Clinical | 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": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1831696327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16150 NE 85TH ST STE 220",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523546",
"telephone_number": "425-558-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16150 NE 85TH ST STE 220",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523546",
"telephone_number": "425-558-0558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALLINGS",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "MSW, LSWAIC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-10",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "60681926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.