MS. LAURIE GANBERG (NPI# 1639208234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639208234 |
| Entity Type | Individual |
| Full Name | MS. LAURIE GANBERG |
| Other Name | MS. LAURIE GUTIERREZ |
| Credential | MSW, LICSW |
| Practice Address |
10740 Meridian Ave N Ste 104 Seattle WA 98133-9010 |
| Practice Telephone | 4254345594 |
| Mailing Telephone | 4254345594 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60673320 | WA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
115074 | MA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 747 Broadway, Seattle, WA 981224379 | 2062159853 | 2062153636 |
| Street Address |
10740 MERIDIAN AVE N STE 104 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-9010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033573134 | Mary Christina Wright-lonheim | Marriage & Family Therapist | 10740 Meridian Ave N Ste 104, Seattle, WA 98133-9010 | 2016-04-05 |
| 1588871370 | Tiffany K English | Social Worker | 10740 Meridian Ave N Ste 104, Seattle, WA 98133-9010 | 2007-05-17 |
| 1699982587 | Erinn Elizabeth Koerselman | Counselor | 10740 Meridian Ave N Ste 104, Seattle, WA 98133-9010 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011609 | Caroline A Lanza | Social Worker | 13035 39th Ave Ne, Seattle, WA 98125-4613 | 2020-10-24 |
| 1730787540 | Regina Yeh | Social Worker | 5011b 44th Ave Ne, Seattle, WA 98105-2909 | 2020-10-14 |
| 1447864889 | Noah Starer | Social Worker | 3719 S Angeline St Apt 2, Seattle, WA 98118-1761 | 2020-09-02 |
| 1073123733 | Namkung Counseling | Social Worker | 2611 Ne 125th St Ste 116, Seattle, WA 98125-4374 | 2020-08-06 |
| 1912515503 | Madeline Cody Ritter | Social Worker | 1818 E Madison St Apt 407, Seattle, WA 98122-3184 | 2020-07-20 |
| 1679191761 | Sarah Louise Gossman Davis | Social Worker | 2100 Westlake Ave N Ste 201, Seattle, WA 98109-5802 | 2020-07-06 |
| 1184249021 | Jennifer J Moyer-taylor | Social Worker | 13532 15th Pl Ne, Seattle, WA 98125-3202 | 2020-06-16 |
| 1528682440 | Perinatal Support Washington | Social Worker | 2319 N 45th St Ste 303, Seattle, WA 98103-6979 | 2020-06-05 |
| 1063033678 | Kate Brickell | Social Worker | 2524 16th Ave S # 305, Seattle, WA 98144-5104 | 2020-05-05 |
| 1710507439 | Sara Miller Brown | Social Worker | 905 Dexter Ave N Apt L100, Seattle, WA 98109-3891 | 2020-04-22 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.