Individual provider Active NPI

Rebecca Vanderlouw, MSW, LSWAIC

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1962138362
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61325150 Issued in WA
Practice address
140 S Arthur St Ste 610
Spokane, WA 99202-2260
Phone
(509) 999-4766
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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 SC61325150 WA Primary

Addresses

Primary practice location

140 S Arthur St Ste 610
Spokane, WA 99202-2260

Mailing address

4007 E Windsong Ave
Spokane, WA 99223-7867
Phone (509) 999-4766

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

LicenseStateTypeSpecialty
SC61325150WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1962138362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 E WINDSONG AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237867",
            "telephone_number": "509-999-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S ARTHUR ST STE 610",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022260",
            "telephone_number": "509-999-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLOUW",
        "first_name": "REBECCA",
        "credential": "MSW, LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61325150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.