Individual provider Active NPI

Maya Preston, MSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1851028336
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61332133 Issued in WA
Practice address
222 W Mission Ave Ste 122
Spokane, WA 99201-2345
Phone
(509) 842-0067
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC61332133 WA Primary

Addresses

Primary practice location

222 W Mission Ave Ste 122
Spokane, WA 99201-2345

Mailing address

222 W Mission Ave Ste 122
Spokane, WA 99201-2345
Phone (509) 842-0067

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://traumainformedtherapies.com/

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

LicenseStateTypeSpecialty
SC61332133WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Informed Therapies Clinical PastSince Aug 7, 2022 Accepting new patients
A Refuge: Trauma Informed Therapies, a Nonprofit Organization Clinical PastSince Aug 7, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1851028336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W MISSION AVE STE 122",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012345",
            "telephone_number": "509-842-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W MISSION AVE STE 122",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012345",
            "telephone_number": "509-842-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "MAYA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61332133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://traumainformedtherapies.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "222 W Mission Ave Ste 122",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992012345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.