Active NPI
Sierra Mision, LSWAIC
- Clinical Social Worker
- Seattle, WA
National Provider Identifier
1881241982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 61381819
- Practice address
- 1107 NE 45TH St Ste 200
Seattle, WA 98105-4631 - Phone
- (206) 694-5736
- NPI assigned
- Aug 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 60998126 | WA | |
| Clinical Social Worker | 1041C0700X | 61381819 | WA | Primary |
Addresses
Primary practice location
1107 NE 45TH St Ste 200
Seattle, WA 98105-4631
Mailing address
1107 NE 45TH St Ste 200
Seattle, WA 98105-4631
Phone (206) 694-5736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026117 | Medicaid | WA |
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 |
|---|---|---|---|
| 60998126 | WA | MD | Clinical Social Worker |
| 61381819 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Young Mens Christian Association of Greater Seattle | 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.
-
- Health Educator
- Seattle, WA
- NPI 1962526046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1881241982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 NE 45TH ST STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054631",
"telephone_number": "206-694-5736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 NE 45TH ST STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054631",
"telephone_number": "206-694-5736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISION",
"first_name": "SIERRA",
"credential": "LSWAIC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "60998126",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "61381819",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026117",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.