MINDY DIANE DAVIS


Address: 309 W 12th St, Vancouver, WA 98660-2903
Phone: 3603651325

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MT BCBS PROVIDER NUMBER 70915 01

Other Providers MINDY DAVIS

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

Office Location

Street Address 309 W 12TH ST
City VANCOUVER
State WA
Zip Code 98660-2903

Providers in the same location

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
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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Competitor

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City VANCOUVER
Zip Code 98660

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Dataset Information

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.

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