DRAGONFLY COUNSELING PLLC (NPI# 1730607854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730607854 |
Entity Type | Organization |
Organization Name | DRAGONFLY COUNSELING PLLC |
Practice Address |
303 Bridge St Ste C Clarkston WA 99403-2921 |
Mailing Address |
Po Box 2031 Clarkston WA 99403-4031 |
Practice Telephone | 5092545053 |
Practice Fax Number | 5097693500 |
Mailing Telephone | 5092545053 |
Mailing Fax Number | 5097693500 |
Enumeration Date | 2017-09-08 |
Last Update Date | 2020-09-17 |
Authorized Official Name | ANDREA L CHARLES (OWNER/CLINICIAN) |
Authorized Official Telephone | 5092545053 |
Authorized Official Credential | LICSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60737830 | WA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | PERSONAL NPI | 1396368668 | 01 |
PERSONAL NPI | 1730529165 | 01 | |
WA | PERSONAL NPI | 1235554668 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
20006 Cedar Valley Rd Ste 113, Lynnwood, WA 980366478 | 5092545053 | 5097693500 |
Street Address |
303 BRIDGE ST STE C |
City | CLARKSTON |
State | WA |
Zip Code | 99403-2921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730529165 | Andrea L Charles | Social Worker | 303 Bridge St Ste C, Clarkston, WA 99403-2921 | 2013-06-29 |
1457964165 | Katherine Nicole Johnson | Social Worker | 303 Bridge St Ste C, Clarkston, WA 99403-2921 | 2020-08-24 |
1750993838 | Allison Cole | Social Worker | 303 Bridge St Ste C, Clarkston, WA 99403-2921 | 2020-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
Find all providers in zip 99403 |
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 |
---|---|---|---|---|
1720611528 | Origins Counseling, Pllc | Social Worker | 8040 Ortonville Rd # E9, Clarkston, MI 48348-4468 | 2020-02-20 |
1447880265 | Fieldstone Counseling & Wellness Center | Social Worker | 9191 Dixie Hwy, Clarkston, MI 48348-4248 | 2020-01-21 |
1508402934 | Robert Garchow | Social Worker | 3694 Clarkston Rd Ste C, Clarkston, MI 48348-5213 | 2019-11-20 |
1366098923 | Holly Jara | Social Worker | 5980 S Main St Ste 101, Clarkston, MI 48346-2377 | 2019-08-09 |
1467929471 | Victoria Fleming | Social Worker | 7183 N Main St # 12, Clarkston, MI 48346-1598 | 2018-10-28 |
1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
1629515077 | Laura Munger | Social Worker | 4545 Clawson Tank Dr, Clarkston, MI 48346-2581 | 2017-01-24 |
1407206873 | Paul Ulewicz I | Social Worker | 7160 Andersonville Rd, Clarkston, MI 48346-2710 | 2016-06-16 |
1598112245 | Kimberly Jill Byrd | Social Worker | 6997 Cranberry Lake Rd, Clarkston, MI 48348-4417 | 2016-05-23 |
Find all providers in CLARKSTON |
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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.