Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eric J Lundstrom, MSW

Individual provider Clinical Social Worker · NPI 1063542892

Eric J Lundstrom, MSW is a Clinical Social Worker in Puyallup, Washington. Qualified in 1996, 30 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
30
Licensed in
WA
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

12515 Meridian E Ste 204
Puyallup, WA 98373-3436
Phone: (206) 940-3543
Fax: (253) 770-4990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW00006872 (WA)

Record details

NPI number1063542892
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023
Mailing address12515 Meridian E Ste 204, Puyallup, WA 98373-3436

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Puyallup