STEPHANIE MARIE DILTZ (NPI# 1730491424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730491424 |
| Entity Type | Individual |
| Full Name | STEPHANIE MARIE DILTZ |
| Other Name | STEPHANIE M TRUMBULL |
| Credential | CDP, LICSW |
| Practice Address |
825 E 5th St Port Angeles WA 98362-3818 |
| Mailing Address |
430 E Lauridsen Blvd Port Angeles WA 98362-7978 |
| Practice Telephone | 3604774790 |
| Practice Fax Number | 3604774802 |
| Mailing Telephone | 3604571610 |
| Mailing Fax Number | 3604774802 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60253597 | WA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO 60123260 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
SC60664781 | WA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LW60996164 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 430 E Lauridsen Blvd, Port Angeles, WA 983627978 | 3604571610 |
| Street Address |
825 E 5TH ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073719662 | Darren Thomas Chapman | Physical Therapist | 825 E 5th St, Port Angeles, WA 98362-3818 | 2007-06-21 |
| 1336603695 | Derek Lee Greul | Counselor | 825 E 5th St, Port Angeles, WA 98362-3818 | 2019-01-30 |
| 1689143273 | Mark Edward Sharp | Counselor | 825 E 5th St, Port Angeles, WA 98362-3818 | 2018-11-13 |
| 1770051674 | Caron Elizabeth Wallace | Counselor | 825 E 5th St, Port Angeles, WA 98362-3818 | 2018-11-08 |
| 1528536521 | Roxanne Rae Mathis | Counselor | 825 E 5th St, Port Angeles, WA 98362-3818 | 2018-11-07 |
| 1891159067 | Specialty Services IIi, Inc. | Substance Abuse Rehabilitation Facility | 825 E 5th St, Suite B, Port Angeles, WA 98362-3818 | 2016-04-13 |
| 1649668666 | Specialty Services II | Substance Abuse Rehabilitation Facility | 825 E 5th St, Port Angeles, WA 98362-3818 | 2014-12-29 |
| 1710183371 | Lisa Christine Baker | Speech-Language Pathologist | 825 E 5th St, Port Angeles, WA 98362-3818 | 2007-06-21 |
| 1861698458 | Patricia Felkel Anderson | Physical Therapy Assistant | 825 E 5th St, Port Angeles, WA 98362-3818 | 2007-06-21 |
| 1942406525 | Kathleen Lenore Rowland | Occupational Therapy Assistant | 825 E 5th St, Port Angeles, WA 98362-3818 | 2007-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951311 | Jonathan B Hall | Counselor | 1107 Grant Ave, Port Angeles, WA 98362-2728 | 2020-10-29 |
| 1457966418 | Mark Carl Sivesind | Counselor | 806 S Vine St, Port Angeles, WA 98362-7982 | 2020-09-15 |
| 1073085031 | Crystal Ann Oravetz | Counselor | 243613 W Highway 101, Port Angeles, WA 98363-9810 | 2018-12-31 |
| 1396217774 | Gill Martin Orr | Counselor | 221 N Race St, Port Angeles, WA 98362-3513 | 2018-12-21 |
| 1083004048 | Annette-marie Vetter | Counselor | 330 E 1st St, Port Angeles, WA 98362-3133 | 2015-01-29 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| 1275808974 | Tricia Ann Burks | Counselor | 1210 E Front St, Suite C, Port Angeles, WA 98362-4325 | 2012-03-13 |
| 1316214232 | Timothy Craig | Counselor | 834 Gunn Rd, Port Angeles, WA 98362-9575 | 2011-11-21 |
| 1700028867 | Michael Glen Ray | Counselor | 1026 East First Street, Suite 2, Port Angeles, WA 98362 | 2009-04-03 |
| 1346497708 | Gayle L Mccormick | Counselor | 3430 Hwy 101 E, Suite 10, Port Angeles, WA 98362 | 2008-08-27 |
| Find all providers in PORT ANGELES | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
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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.