INTERFAITH COMMUNITY HEALTH CENTER


Address: 1616 Cornwall Ave, Ste 205, Bellingham, WA 98225-4642
Phone: 3606766177

INTERFAITH COMMUNITY HEALTH CENTER (NPI# 1952732240) 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) 1952732240
Entity Type Organization
Organization Name INTERFAITH COMMUNITY HEALTH CENTER
Practice Address 1616 Cornwall Ave
Ste 205
Bellingham
WA 98225-4642
Mailing Address 1616 Cornwall Ave
Ste 205
Bellingham
WA 98225-4648
Practice Telephone 3606766177
Practice Fax Number 3606713574
Mailing Telephone 3606766177
Mailing Fax Number 3606713574
Enumeration Date 2013-12-11
Last Update Date 2013-12-11
Authorized Official Name JAN KLINEBURGER (CFO)
Authorized Official Telephone 3606766177
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
SC60402161 WA Behavioral Health & Social Service Providers
N 1041S0200X Social Worker
Specialization: School
SC60402161 WA Behavioral Health & Social Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124447768 Interfaith Community Health Center Case Management 220 Unity St, Bellingham, WA 98225-4429 2014-04-10
1275880494 Interfaith Community Health Center Community/Behavioral Health 1616 Cornwall Ave, Bellingham, WA 98225-4648 2012-08-07

Office Location

Street Address 1616 CORNWALL AVE
STE 205
City BELLINGHAM
State WA
Zip Code 98225-4642

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427028422 Angela Dawn Beaupain Physical Therapist 1616 Cornwall Ave, Bellingham, WA 98225 2006-01-24
1447816178 Kathryn Brighton Dental Hygienist 1616 Cornwall Ave, Bellingham, WA 98225-4648 2019-05-17
1063946598 Seth Boun Behavior Technician 1616 Cornwall Ave, Bellingham, WA 98225-4648 2017-04-11
1275065344 Rebecca Moore Behavior Technician 1616 Cornwall Ave, Suite 100, Bellingham, WA 98225-4648 2017-03-29
1306385562 Daniel Mcdonald Behavioral Analyst 1616 Cornwall Ave, Suite 100, Bellingham, WA 98225-4642 2017-02-21
1548707912 Kent Beach Behavioral Analyst 1616 Cornwall Ave, Suite 100, Bellingham, WA 98225-4648 2017-01-24
1043753445 Kelsey Lebard Behavioral Analyst 1616 Cornwall Ave, Suite 100, Bellingham, WA 98225-4648 2016-12-02
1013450303 Hannah Margaret Whitten Behavioral Analyst 1616 Cornwall Ave, Suite 100, Bellingham, WA 98225-4648 2016-11-18
1790235950 Yvette Melby Social Worker 1616 Cornwall Ave, #205, Bellingham, WA 98225-4648 2016-10-11
1225587181 Sierra Grace Johnson Behavioral Analyst 1616 Cornwall Ave, Bellingham, WA 98225-4648 2016-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578183729 Family Care Network Pllc Clinic/Center 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 2020-04-17
1770129264 Ariella K Ross Massage Therapist 2701 Northwest Avenue, Bellingham, WA 98225 2019-11-20
1467006205 Family Care Network, Pllc Family Medicine 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 2019-07-30
1487110375 Rhonda Beth Steel Massage Therapist Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 2019-02-15
1366915316 Alexander Knight Acupuncture Inc Acupuncturist 12 Bellwether Way, Suite 201, Bellingham, WA 98225 2019-01-02
1902372998 Northwest Telepsychiatry, Pllc Psychiatry & Neurology 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 2018-10-17
1639650336 Jennifer Sue Cogen Massage Therapist 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 2018-08-22
1013414036 Tamara C Dee Social Worker 1313 E Maple St Ste 229, Bellingham, WA 98225 2018-04-06
1417468596 Samantha Grace Smith Counselor 920 Harris Avenue, 202-e, Bellingham, WA 98225 2017-10-17
1710406731 Shalom Maria Shreve Counselor 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 2017-09-11
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427681881 Geneva Elizabeth Graham Social Worker 2223 I St Apt A, Bellingham, WA 98225-3321 2020-02-13
1316580038 Ryan R Douglas Social Worker 2602 St Clair Pl, Bellingham, WA 98226-6131 2019-10-25
1689228264 Sara Morgan Gall Social Worker 3865 Magrath Rd, Bellingham, WA 98226-8884 2019-07-31
1699259184 Kerrie Ann Cusack Social Worker 21 Blackstone St, Bellingham, MA 02019-1601 2018-09-20
1346735347 Maria Rockwell Social Worker 1020 N State St, Bellingham, WA 98225-5012 2018-06-22
1598259889 Erin Ann Clouthier Antenen Social Worker 1106 Harris Ave Ste 210, Bellingham, WA 98225-7001 2018-06-19
1972092856 Ashley Aiken Social Worker 621 N Forest St Apt 2, Bellingham, WA 98225-5346 2018-05-06
1013414036 Tamara C Dee Social Worker 1313 E Maple St Ste 229, Bellingham, WA 98225 2018-04-06
1710411053 Leigh Wirth Counseling Social Worker 2339 West St, Bellingham, WA 98225-2150 2017-04-13
1295279875 Esther Maria Grummel Social Worker 103 E Holly St Ste 319, Bellingham, WA 98225-4728 2016-12-15
Find all providers in BELLINGHAM

Competitor

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City BELLINGHAM
Zip Code 98225

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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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