Active NPI
Krista Marie Silva, MSW, LSWAIC, MHP
- Clinical Social Worker
- Tacoma, WA
National Provider Identifier
1841766912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC60898051
- Practice address
- 1201 S Proctor St
Tacoma, WA 98405-2047 - Phone
- (253) 254-1074
- Fax
- (253) 759-7008
- NPI assigned
- Oct 16, 2018
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC60898051 | WA | Primary |
Addresses
Primary practice location
1201 S Proctor St
Tacoma, WA 98405-2047
Mailing address
1201 S Proctor St
Tacoma, WA 98405-2047
Phone (253) 254-1074
Other names 1
- Krista Marie White
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
708 Broadway
Suite 170
Tacoma, WA 98402-3710
PO Box
Suite 29233
Bellingham, WA 98228-1233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC60898051 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ignite a Path to Wellness | Single Specialty | Current | Accepting new patients |
Locations
708 Broadway
Ste 170
Tacoma, WA 98402
Phone (253) 348-6548
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": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1841766912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S PROCTOR ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052047",
"telephone_number": "253-254-1074",
"fax_number": "253-759-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S PROCTOR ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052047",
"telephone_number": "253-254-1074",
"fax_number": "253-759-7008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVA",
"first_name": "KRISTA",
"middle_name": "MARIE",
"credential": "MSW, LSWAIC, MHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-16",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC60898051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTA",
"last_name": "WHITE",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.