Active NPI
Catherine E. Stafford, BA, MSW, LCSW
- Marriage & Family Therapist
- Lynnwood, WA
National Provider Identifier
1902973050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LW00006363
- Practice address
- 4230 198TH St SW
Lynnwood, WA 98036-6762 - Phone
- (425) 275-9071
- Fax
- (425) 275-9045
- NPI assigned
- Nov 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LW00006363 | WA | Primary |
Addresses
Primary practice location
4230 198TH St SW
Lynnwood, WA 98036-6762
Mailing address
4230 198TH St SW
Lynnwood, WA 98036-6762
Phone (425) 275-9071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7209716 | Other | WA | AETNA PROVIDER NUMBER |
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00006363 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C. a. Brooks and Associates, PS | 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.
-
- Pediatric Occupational Therapist
- Lynnwood, WA
- NPI 1568521433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902973050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 198TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366762",
"telephone_number": "425-275-9071",
"fax_number": "425-275-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 198TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366762",
"telephone_number": "425-275-9071",
"fax_number": "425-275-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "CATHERINE",
"middle_name": "E.",
"name_prefix": "Mrs.",
"credential": "BA, MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LW00006363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "7209716",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.