Individual provider Active NPI

Tasha Lyn Sloan, MSW, LICSW

  • Social Worker
  • Olympia, WA
National Provider Identifier
1952608440
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LW60856696 Issued in WA
Practice address
313 5TH Ave SE Ste a
Olympia, WA 98501-1191
Phone
(350) 545-3451
NPI assigned
Feb 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60856696 WA
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X LW60856696 WA Primary

Addresses

Primary practice location

313 5TH Ave SE Ste a
Olympia, WA 98501-1191

Mailing address

2105 Boundary St SE
Olympia, WA 98501-3032
Phone (828) 350-8152

Other practice location 1

2105 Boundary St SE
Olympia, WA 98501-3032
Phone (350) 545-3451

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
I20250429003366 WA Practitioner - Clinical Social Worker 4486088200 Practice locations: Olympia, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60856696WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1952608440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BOUNDARY ST SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985013032",
            "telephone_number": "828-350-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 5TH AVE SE STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011191",
            "telephone_number": "350-545-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 Boundary St SE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985013032",
            "country_code": "US",
            "telephone_number": "350-545-3451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "TASHA",
        "middle_name": "LYN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60856696",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60856696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.