Lea Tate, LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC61333093 Issued in WA

Practice address

102 23Rd Ave SE Unit 102
Puyallup, WA 98372-4501

Phone

(253) 987-5561

NPI assigned

Nov 3, 2022

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1902513369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16909 132ND AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749570",
            "telephone_number": "864-735-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 23RD AVE SE UNIT 102",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724501",
            "telephone_number": "253-987-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "LEA",
        "credential": "LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61333093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talk Therapy Ohio
• Morgan Jo Tan, MD
• Jazmyn Princess Carroll Tang, ARNP
• Joslyn A Tapec, ARNP
• Anahi Tapia Diaz
• Phillip S Tate, PH.D.
• Luis M Taveras, M.D.
• Ruba H Tawil, DDS
• Alan F Taylor
• Allysa J Taylor, LMT

• Clinical Social Worker in Puyallup, WA
• Providers in Puyallup, 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 Nov 3, 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.