MS. SUSAN L VANWORMER


Address: 108 N. Jefferson, Medical Lake, WA 99022
Phone: 5097109457

MS. SUSAN L VANWORMER (NPI# 1881912962) 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) 1881912962
Entity Type Individual
Full Name MS. SUSAN L VANWORMER
Practice Address 108 N. Jefferson
Medical Lake
WA 99022
Mailing Address Po Box 1199
Medical Lake
WA 99022-1199
Practice Telephone 5097109457
Mailing Telephone 5097109457
Enumeration Date 2010-05-13
Last Update Date 2010-05-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LH60147000 WA Behavioral Health & Social Service Providers

Office Location

Street Address 108 N. JEFFERSON
City MEDICAL LAKE
State WA
Zip Code 99022

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417462227 Alicia Burton Dds Pllc Clinic/Center 47 E. Wa 902, Medical Lake, WA 99022 2017-12-04
1487100038 Tammy Lee Adler Pharmacist 1010 W Fir St, Medical Lake, WA 99022 2016-09-01
1902281959 Carmen Joy Berg Pharmacist 2320 South Salnave Road, Medical Lake, WA 99022 2015-07-20
1033546288 Torrance Whitney Baldwin Speech-Language Pathologist 116 West 3rd St., Medical Lake, WA 99022 2013-10-02
1144572710 Keri Lea Wissink Speech-Language Pathologist 116 West Thrird Street, Medical Lake, WA 99022 2012-10-08
1609153766 Dutton Veterinary Medicine Pllc Special Hospital 212 East Lake Street, Medical Lake, WA 99022 2011-11-03
1467774232 Ryan K Love Dentist N 123 Brower Street, Medical Lake, WA 99022 2010-02-22
1023263464 Emily S Mildes Nurse Practitioner 1451 W Maple, Medical Lake, WA 99022 2008-11-26
1619005014 Maria Lydia Montenegro General Practice 2320 Salnave Rd, Lakeland Village, Medical Lake, WA 99022 2007-02-28
1851442693 Jessica M Toillion Dentist N 123 Brower, Medical Lake, WA 99022 2007-01-16
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255754594 Ciera Caprice Botzheim Counselor Eastern State Hospital, 850 Maple Street, Medical Lake, WA 99022-0800 2014-01-22

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1366043960 Nidhi Amy Rastogi Counselor 7004 Murray Ave Sw Apt 103, Seattle, WA 98136-1763 2020-11-02
1124628797 Krista P Marceron Counselor 1421 34th Ave Ste 207, Seattle, WA 98122-3634 2020-10-31
1053911735 Laura S Garcia Counselor 603 N Anderson St, Ellensburg, WA 98926-3148 2020-10-30
1326648064 Taylor Ferry Counselor 3954 1st Ave Ne Apt 3, Seattle, WA 98105-6863 2020-10-30
1710587969 Brenton Brooks Page Jr. Counselor 819 N 49th St Ste 303, Seattle, WA 98103-6577 2020-10-27
1255931416 Lauren Dudugjian Counselor 1160 140th Ave Ne Ste E-f, Bellevue, WA 98005-2978 2020-10-27
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Competitor

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City MEDICAL LAKE
Zip Code 99022

Improve Information

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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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