MINDY DIANE DAVIS (NPI# 1508882200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508882200 |
Entity Type | Individual |
Full Name | MINDY DIANE DAVIS |
Credential | LICSW |
Practice Address |
309 W 12th St Vancouver WA 98660-2903 |
Mailing Address |
Po Box 605 Vancouver WA 98666-0605 |
Practice Telephone | 3603651325 |
Enumeration Date | 2006-07-14 |
Last Update Date | 2018-12-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 104100000X | Social Worker | LW60062992 | WA | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
LW60062992 | WA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | BCBS PROVIDER NUMBER | 70915 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154779841 | Mindy Gomez Davis | Counselor | 251 Llewellyn Ave, Campbell, CA 95008 | 2016-06-02 |
1164663100 | Mindy L Davis | Counselor | 224 Breckenridge Ln, Suite A, Louisville, KY 40207-3859 | 2009-03-22 |
1265632442 | Mindy Ann Davis | Social Worker | 655 7th St Bldg 700700-a, 78th Mdg/sgow, Robins Afb, GA 31098-2227 | 2007-07-25 |
Street Address |
309 W 12TH ST |
City | VANCOUVER |
State | WA |
Zip Code | 98660-2903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538774047 | Ashley Gliddon | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2020-09-11 |
1710502356 | Jasmine Hankerson | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2020-06-09 |
1306473327 | Hannah G Martin | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2020-03-27 |
1245879626 | Richard Weinstein | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2020-01-02 |
1124685334 | Renee Fitzpatrick | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2019-05-22 |
1003473216 | Catie Hardman | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2019-05-22 |
1063975811 | Talia Brumfield | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2019-04-09 |
1912460098 | Cole Jeffrey Evers | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2019-04-07 |
1184198962 | Renee Sisson | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2019-01-15 |
1790258085 | Stephanie N Dcruz | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2019-01-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
Find all providers in zip 98660 |
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 |
---|---|---|---|---|
1093332132 | Faith Swords | Social Worker | 910 Nw 50th St, Vancouver, WA 98663-1602 | 2020-07-05 |
1740810068 | Tara Louise Bartel | Social Worker | 13820 Se 20th Cir, Vancouver, WA 98683-7188 | 2020-01-26 |
1124588876 | Marjorie Louisa Molmen | Social Worker | 1601 E Fourth Plain Blvd Bldg 1, Vancouver, WA 98661-3717 | 2019-03-20 |
1538630850 | Heritage Nw Consulting LLC | Social Worker | 4107 Nw Fruit Valley Rd Ste K, Vancouver, WA 98660-1275 | 2018-12-16 |
1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
1205312196 | Jayme Anderson | Social Worker | 6313 Ne 87th Ave, Vancouver, WA 98662-5492 | 2018-07-14 |
1013403245 | Kelli Jean Anderson | Social Worker | 608 Ne 122nd Ave, Vancouver, WA 98684-5826 | 2018-07-11 |
1407342660 | Billie Jo Ek-bonneau | Social Worker | 16028 Ne 98th St, Vancouver, WA 98682-2843 | 2018-07-10 |
1376039537 | Linda Jane Rutledge | Social Worker | 16701 Se 35th Way, Vancouver, WA 98683-9498 | 2018-07-10 |
1356897904 | Kara Valerie Seibert | Social Worker | 1601 E Fourth Plain Blvd Bldg 17 Ste A212, Vancouver, WA 98661 | 2016-09-01 |
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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.