Healthcare Provider Details

I. General information

NPI: 1306358569
Provider Name (Legal Business Name): SARAH STONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2017
Last Update Date: 05/13/2024
Certification Date: 04/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 PACIFIC AVE
TACOMA WA
98402-4301
US

IV. Provider business mailing address

114 ALASKAN WAY S APT 301
SEATTLE WA
98104-2585
US

V. Phone/Fax

Practice location:
  • Phone: 866-478-3978
  • Fax:
Mailing address:
  • Phone: 720-281-0584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number100158
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: