Anita Prasad Lemieux, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00009336 Issued in WA

Practice address

9431 Coppertop Loop NE
Suite B
Bainbridge Island, WA 98110-3684

Phone

(206) 552-1431

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anita Prasad Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anita.lemieux.p1@direct.pgsklallamtribe.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Port Gamble S'Klallam Tribe

  • Federally Qualified Health Center (FQHC)
  • Kingston, WA
  • NPI 1760428650
  Medicare reassignment NPD
• Port Gamble S'Klallam Tribe

  • Federally Qualified Health Center (FQHC)
  • Kingston, WA
  • NPI 1518585579
  NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1972656866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 COPPERTOP LOOP NE",
            "address_2": "SUITE B",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103684",
            "telephone_number": "206-552-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 COPPERTOP LOOP NE",
            "address_2": "SUITE B",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103684",
            "telephone_number": "206-552-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMIEUX",
        "first_name": "ANITA",
        "middle_name": "PRASAD",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00009336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1128354",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "PRASAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Quint Leatherman
• Brenda Lee, MS
• Sanghee Lee, RPH
• Young Ju Lee, RPH
• Leslie Lehman
• Elizabeth Ann Lennon, NBC-HWC, CN
• Erin M Letellier, LMHCA, LMT
• Laurie Ann Letter, P.T., L.M.P.
• Dean Lierle, LICSW
• Lifespan Assessment Services, PLLC

• Clinical Social Worker in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.