ELLENSBURG COUNSELING SERVICES PLLC (NPI# 1124188487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124188487 |
| Entity Type | Organization |
| Organization Name | ELLENSBURG COUNSELING SERVICES PLLC |
| Other Organization Name | MARTI K. BRADLEY |
| Practice Address |
109 E 3rd Ave Suite 7 Ellensburg WA 98926-3357 |
| Practice Telephone | 5099252123 |
| Practice Fax Number | 5099252008 |
| Mailing Telephone | 5099252123 |
| Mailing Fax Number | 5099252008 |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARTI K. BRADLEY (OWNER) |
| Authorized Official Telephone | 5099252123 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW00006668 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NPI | 1184635146 | 01 |
| Other Name | Type Code |
|---|---|
| Marti K. Bradley | Other Name - Individual/Organization |
| Street Address |
109 E 3RD AVE SUITE 7 |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 98926-3357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225190879 | Antonia Sloan | Counselor | 109 E 3rd Ave, Ellensburg, WA 98926-3357 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
| 1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
| 1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
| 1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
| 1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
| 1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
| 1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
| 1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
| 1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
| 1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
| Find all providers in zip 98926 | ||||
| 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 |
|---|---|---|---|---|
| 1174793236 | Marshall L Kirkpatrick | Social Worker | 109 N Ruby St, Ellensburg, WA 98926-3382 | 2008-03-05 |
| 1396944690 | Abby Berman | Social Worker | 305 W 11th Ave, Suite 1, Ellensburg, WA 98926-2409 | 2007-07-16 |
| 1275099921 | Valley Counseling Services, LLC | Social Worker | 4311 Umptanum Rd, Ellensburg, WA 98926-8749 | 2019-02-19 |
| 1881764769 | Carol Gilliom | Social Worker | 220 W 4th Ave, Ellensburg, WA 98926-3060 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427715 | Jerald Rodman | Social Worker | 2565 Kristine Ct, Centralia, WA 98531-8808 | 2020-11-02 |
| 1811597826 | Leika Baquiran | Social Worker | 33301 1st Way S # C-140, Federal Way, WA 98003-6252 | 2020-10-28 |
| 1093315228 | Yaffa Cohen | Social Worker | 4574 187th Pl Se, Issaquah, WA 98027-9731 | 2020-10-27 |
| 1063011609 | Caroline A Lanza | Social Worker | 13035 39th Ave Ne, Seattle, WA 98125-4613 | 2020-10-24 |
| 1740888338 | Susan Lee Garrett-jones | Social Worker | 30517 7th Ave. Ne, Stanwood, WA 98292-9665 | 2020-10-15 |
| 1730787540 | Regina Yeh | Social Worker | 5011b 44th Ave Ne, Seattle, WA 98105-2909 | 2020-10-14 |
| 1144827551 | Heidi Elizabeth Hartz | Social Worker | 9040 Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431-0001 | 2020-10-08 |
| 1730786252 | Alexandra Elias Sharman | Social Worker | 5735 91st Ave Se, Mercer Island, WA 98040-5032 | 2020-10-07 |
| 1639786262 | Charina Carothers | Social Worker | 631 S Richard Allen Ct Ste 104, Spokane, WA 99202-2345 | 2020-09-28 |
| 1700493806 | Alisa M Mattiazzi | Social Worker | 10006 100th Ave Sw, Lakewood, WA 98498-3124 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | ELLENSBURG |
| Zip Code | 98926 |
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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.