Individual provider Active NPI

Karin Lee West-Ivarson, L.I.C.S.W.

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1942354352
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00008276 Issued in WA
Practice address
7202 NE Highway 99 Ste 106-299
Vancouver, WA 98665-8932
Phone
(509) 551-1813
Fax
(360) 571-7084
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00008276 WA Primary

Addresses

Primary practice location

7202 NE Highway 99 Ste 106-299
Vancouver, WA 98665-8932

Mailing address

7202 NE Highway 99 Ste 106-299
Vancouver, WA 98665-8932
Phone (509) 551-1813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050726000154 WA Practitioner - Clinical Social Worker 4789611344 Practice locations: Vancouver, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7202 NE Hwy 99
Suite 106
Vancouver, WA 98665-8932
Phone (509) 551-1813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW00008276WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1942354352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 NE HIGHWAY 99 STE 106-299",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658932",
            "telephone_number": "509-551-1813",
            "fax_number": "360-571-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7202 NE HIGHWAY 99 STE 106-299",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658932",
            "telephone_number": "509-551-1813",
            "fax_number": "360-571-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST-IVARSON",
        "first_name": "KARIN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.