Active NPI
Sandy Annette Wisecarver
- Social Worker
- Lynden, WA
National Provider Identifier
1942171046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SC70034740
- Practice address
- 105 3Rd St
Lynden, WA 98264-1408 - Phone
- (360) 389-3278
- NPI assigned
- Sep 13, 2025
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SC70034740 | WA | Primary |
Addresses
Primary practice location
105 3Rd St
Lynden, WA 98264-1408
Mailing address
1156 Rene CT
Blaine, WA 98230-9513
Phone (360) 595-4821
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 |
|---|---|---|---|
| SC70034740 | WA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757721600000",
"number": "1942171046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1156 RENE CT",
"city": "BLAINE",
"state": "WA",
"postal_code": "982309513",
"telephone_number": "360-595-4821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 3RD ST",
"city": "LYNDEN",
"state": "WA",
"postal_code": "982641408",
"telephone_number": "360-389-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISECARVER",
"first_name": "SANDY",
"middle_name": "ANNETTE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-13",
"last_updated": "2025-09-13",
"certification_date": "2025-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SC70034740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynden, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.