Active NPI
Stacia Ann Vierra, LICSW
- Clinical Social Worker
- Puyallup, WA
National Provider Identifier
1922722479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61586459
- Practice address
- 19002 92ND Ave E
Puyallup, WA 98375-6161 - Phone
- (253) 414-2844
- NPI assigned
- Sep 28, 2022
- 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 | LW61586459 | WA | Primary |
Addresses
Primary practice location
19002 92ND Ave E
Puyallup, WA 98375-6161
Mailing address
19002 92ND Ave E
Puyallup, WA 98375-6161
Phone (253) 414-2844
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 |
|---|---|---|---|
| LW61586459 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1922722479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19002 92ND AVE E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983756161",
"telephone_number": "253-414-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19002 92ND AVE E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983756161",
"telephone_number": "253-414-2844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIERRA",
"first_name": "STACIA",
"middle_name": "ANN",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-28",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61586459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.