MRS. STACY LYNN PETTITT (NPI# 1104150705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104150705 |
| Entity Type | Individual |
| Full Name | MRS. STACY LYNN PETTITT |
| Credential | MSW |
| Practice Address |
340 Ne Maple Pullman WA 99163 |
| Practice Telephone | 5093341133 |
| Practice Fax Number | 5093341133 |
| Mailing Telephone | 5093341133 |
| Mailing Fax Number | 5093321608 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2015-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | SA60567471 | WA | Behavioral Health & Social Service Providers |
| Street Address |
340 NE MAPLE |
| City | PULLMAN |
| State | WA |
| Zip Code | 99163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215041017 | Charis Estelle Alderfer-mumma | Counselor | 340 Ne Maple, Pullman, WA 99163 | 2006-08-18 |
| 1881098051 | Augusto Gancinia | Counselor | 340 Ne Maple, Pullman, WA 99163 | 2014-10-17 |
| 1265875496 | Hanna E. Gash | Social Worker | 340 Ne Maple, Pullman, WA 99163 | 2013-04-08 |
| 1982946786 | Katelin Christine Swanson | Counselor | 340 Ne Maple, Pullman, WA 99163-8761 | 2013-03-20 |
| 1346501103 | Liana Faire Shull | Social Worker | 340 Ne Maple, Pullman, WA 99163 | 2012-06-07 |
| 1255613584 | Lisa Marie Malcolm | Social Worker | 340 Ne Maple, Pullman, WA 99163 | 2011-09-13 |
| 1629232590 | Dennis P Fritz | Behavioral Analyst | 340 Ne Maple, Pullman, WA 99163 | 2008-07-10 |
| 1679746648 | Sloan Clare Fuller | Counselor | 340 Ne Maple, Pullman, WA 99163 | 2008-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1245715788 | Chirs Sader | Specialist/Technologist | Cougar Way, Bohler Addition, Pullman, WA 99163 | 2018-10-01 |
| 1588158307 | Stefanie Clark | Massage Therapist | 1205 Se Bishop Blvd, Suite #109, Pullman, WA 99163 | 2018-06-15 |
| 1023523859 | Madeleine Degrasse | Specialist/Technologist | 1580 Ne Cougar Way, 265, Coleman, WA 99163 | 2017-12-01 |
| 1720517188 | Chelsea Michelle Luna | Specialist/Technologist | 705 Nw State St, Pullman, WA 99163 | 2017-06-08 |
| 1649706185 | Travis Reid Edwards | Specialist/Technologist | 1455 Ne Colorado St, Pullman, WA 99163 | 2017-05-03 |
| 1053775403 | Anna Grindeland | Dietitian, Registered | 555 Se Water St, Pullman, WA 99163 | 2016-04-12 |
| 1487991741 | Yoko Jingi | Specialist/Technologist | 1225 S Grand Ave., Pullman, WA 99163 | 2013-01-07 |
| 1003151572 | Jessie M Armstrong | Speech-Language Pathologist | 1805 Nw Canyonview Drive, Pullman, WA 99163 | 2012-12-10 |
| 1679827877 | Schweitzer Engineering Laboratories | Clinic/Center | 2440 Ne Hopkins Ct., Pullman, WA 99163 | 2012-11-09 |
| Find all providers in zip 99163 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784036 | Ning None Wang | Social Worker | 340 Ne Maple St, Pullman, WA 99163-4120 | 2019-05-06 |
| 1982190583 | Kristine Geralyn Kemp | Social Worker | 340 Ne Maple St, Pullman, WA 99163-4120 | 2018-07-06 |
| 1831555903 | Matthew Ramsey | Social Worker | 340 Ne Maple St, Pullman, WA 99163-4120 | 2016-01-05 |
| 1265875496 | Hanna E. Gash | Social Worker | 340 Ne Maple, Pullman, WA 99163 | 2013-04-08 |
| 1528318177 | Shannon Lyn Tappana | Social Worker | 102 W Main St, Pullman, WA 99163-2826 | 2012-09-11 |
| 1346501103 | Liana Faire Shull | Social Worker | 340 Ne Maple, Pullman, WA 99163 | 2012-06-07 |
| 1255613584 | Lisa Marie Malcolm | Social Worker | 340 Ne Maple, Pullman, WA 99163 | 2011-09-13 |
| 1013141704 | Luann Nelson | Social Worker | 340 Ne Maple St, Pullman, WA 99163-4120 | 2009-05-08 |
| 1982762936 | Alisha Dearmin | Social Worker | 340 Ne Maple St, Pullman, WA 99163-4120 | 2006-12-04 |
| 1821062811 | Rhonda Allenger | Social Worker | 340 Ne Maple St, Pullman, WA 99163-4120 | 2006-02-15 |
| Find all providers in PULLMAN | ||||
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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.