SOOCHUL SONG (NPI# 1831607175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831607175 |
| Entity Type | Individual |
| Full Name | SOOCHUL SONG |
| Practice Address |
8811 S Tacoma Way Ste 106 Lakewood WA 98499-4595 |
| Practice Telephone | 2533023826 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
8811 S TACOMA WAY STE 106 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-4595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881844512 | Pete J Blair | Social Worker | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2008-09-30 |
| 1265050249 | Hong Chul Kim | Student in an Organized Health Care Education/Training Program | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2020-07-07 |
| 1518590777 | Jung Mee Chong | Student in an Organized Health Care Education/Training Program | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2020-02-17 |
| 1740826502 | Angela Y Yoon | Psychologist | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2019-11-26 |
| 1033761408 | Han Soo Kim | Counselor | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2019-07-15 |
| 1659936482 | Jeanette Johnson | Counselor | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2019-05-07 |
| 1871065169 | Elizabeth Ann Clark | Counselor | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2018-12-26 |
| 1689153298 | Lori Mae Jones | Counselor | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2018-08-14 |
| 1558841122 | Sara Jane Guy | Counselor | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2018-08-14 |
| 1679063598 | Ji S Kim | Social Worker | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2018-05-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720329576 | Jediedjah Moshe Rodrigues Pereira | Psychologist | 1212 Todd Ct, Lakewood, NJ 08701-2256 | 2013-03-04 |
| 1740826502 | Angela Y Yoon | Psychologist | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2019-11-26 |
| 1649303512 | West Mock Associates, Inc Dba Center for Interpersonal Development | Psychologist | 14650 Detroit Avenue, Suite Ll40, Lakewood, OH 44107 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710411830 | Rickey L Jones | Psychologist | 5523 E Commerce Ave, Spokane, WA 99212-1306 | 2017-04-14 |
| 1851849855 | Yvonne Lynn Prouty | Psychologist | 1960 Thompson Dr, Sedro Woolley, WA 98284-5007 | 2016-09-19 |
| 1205088689 | Diedra L Clay | Psychologist | 2800 E Madison St Ste 320, Seattle, WA 98112-4871 | 2008-10-16 |
| 1659521912 | Wayne E Carr | Psychologist | 7800 N E Bothell Way, Suite 155 B, Kenmore, WA 98028 | 2008-09-23 |
| 1104024348 | Providence Health & Service Washington | Psychologist | 218-a Main Street, Morton, WA 98356-0000 | 2007-07-10 |
| 1245438738 | Providence Health & Service Washington | Psychologist | 1322 Commerce Ave, Longview, WA 98632-3718 | 2007-07-05 |
| 1245208404 | James William Ethier | Psychologist | 238 N. Chelan Ave., Wenatchee, WA 98801-2105 | 2006-03-14 |
| 1689272395 | Kathryn Staats | Psychologist | 1016 Commercial St, Raymond, WA 98577-2631 | 2020-10-14 |
| 1992315519 | Christine Borland | Psychologist | 5929 Westgate Blvd Ste A, Tacoma, WA 98406-2567 | 2020-08-07 |
| 1750916086 | Ozark Gore | Psychologist | 4804 Lacey Blvd Se Ste A, Lacey, WA 98503-5733 | 2020-03-06 |
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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.