Active NPI
Sondra Vasquez, LICSW
- Clinical Social Worker
- Arlington, WA
National Provider Identifier
1932530631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60809797
- Practice address
- 3320 173Rd PL NE
Arlington, WA 98223-8712 - Phone
- (425) 349-8700
- Fax
- (425) 349-8726
- NPI assigned
- Dec 5, 2013
- 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 | SC60431763 | WA | |
| Clinical Social Worker | 1041C0700X | LW60809797 | WA | Primary |
Addresses
Primary practice location
3320 173Rd PL NE
Arlington, WA 98223-8712
Mailing address
PO Box 3810
Everett, WA 98213-8810
Phone (425) 349-8700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC60431763 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1932530631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3810",
"city": "EVERETT",
"state": "WA",
"postal_code": "982138810",
"telephone_number": "425-349-8700",
"fax_number": "425-349-8726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 173RD PL NE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982238712",
"telephone_number": "425-349-8700",
"fax_number": "425-349-8726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "SONDRA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-05",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC60431763",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60809797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.