Patricia A Mahaulu-Stephens, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60624604 Issued in WA

Practice address

4433 80TH St SW
Lakewood, WA 98409-1016

Phone

(253) 232-6255

NPI assigned

Jan 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: patricia.mahaulustephens.p1@direct.puyalluptribalhealth.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1831840438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 80TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984091016",
            "telephone_number": "253-232-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 80TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984091016",
            "telephone_number": "253-232-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAULU-STEPHENS",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60624604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunice Damaris Magana-Talavera
• Geraldine Ann Magee-Salem, B.A., M.A., LMFTA
• Meika Magee
• David John Magelssen, M.D.
• Kyle D Mahaffey, PA-C
• Mindy Mahler
• Makaya Health Center
• Lennie Lynn Perez Malang, M.D.
• Madison Gabriella Maldonado
• Avreet Malhi

• Clinical Social Worker in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.