RAYMOND WELLIVER (NPI# 1114120144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114120144 |
| Entity Type | Individual |
| Full Name | RAYMOND WELLIVER |
| Credential | LICSW |
| Practice Address |
1010 E College Way Mount Vernon WA 98273-5624 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 3605428920 |
| Practice Fax Number | 3605428930 |
| Mailing Telephone | 3604288912 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2009-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
1030657 | MA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60068846 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1307819 | 05 |
| Street Address |
1010 E COLLEGE WAY |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273-5624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861599532 | Damaris E Gomez-babayan | Counselor | 1010 E College Way, Mount Vernon, WA 98273-5624 | 2006-09-17 |
| 1821630740 | Sea - Mar Community Health Center | Clinic/Center | 1010 E College Way, Mount Vernon, WA 98273-5624 | 2019-10-11 |
| 1730614611 | Cali Echevarria | Marriage & Family Therapist | 1010 E College Way, Mount Vernon, WA 98273-5624 | 2017-04-27 |
| 1841661634 | Elia Barrios | Counselor | 1010 E College Way, Mount Vernon, WA 98273-5624 | 2015-10-19 |
| 1912377300 | Noreen Lynn Krymski | Counselor | 1010 E College Way, Mount Vernon, WA 98273-5624 | 2015-09-29 |
| 1689077307 | Gigi Servis | Counselor | 1010 E College Way, Mount Vernon, WA 98273 | 2014-10-08 |
| 1134539489 | Sara Myers | Counselor | 1010 E College Way, Mount Vernon, WA 98273-5624 | 2014-05-07 |
| 1194144576 | Maria Teresa Ortiz-cassity | Counselor | 1010 E College Way, Mount Vernon, WA 98273-5624 | 2014-04-14 |
| 1679814826 | Miguel Cortez | Counselor | 1010 E College Way, Mount Vernon, WA 98273-5624 | 2013-03-13 |
| 1730429010 | David E Small | Counselor | 1010 E College Way, Mount Vernon, WA 98273-5624 | 2013-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
| 1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
| Find all providers in zip 98273 | ||||
| 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 |
|---|---|---|---|---|
| 1629696380 | Betty Delossantos Coleman | Social Worker | 312 Hayward Ave, Mount Vernon, NY 10552-1607 | 2020-07-09 |
| 1821633496 | Zaida A Liranzo | Social Worker | 9 W Prospect Ave Ste 402, Mount Vernon, NY 10550-2048 | 2019-11-07 |
| 1235795493 | North Cascade Recovery | Social Worker | 317 S 2nd St Ste 104, Mount Vernon, WA 98273-3814 | 2019-05-14 |
| 1316502560 | Samiyrah Bennett | Social Worker | 241 S 9th Ave Apt 1h, Mount Vernon, NY 10550-3733 | 2019-05-02 |
| 1336658608 | Haven Empowerment Center | Social Worker | 2 Gramatan Ave Ste 311, Mount Vernon, NY 10550-3216 | 2017-09-29 |
| 1720503584 | Darnell Lollis | Social Worker | 1100 S 2nd St # 2, Mount Vernon, WA 98273-4209 | 2017-08-13 |
| 1053831768 | Tanya Dawson | Social Worker | 300 Hayward Ave Apt 4g, Mount Vernon, NY 10552-1729 | 2017-06-23 |
| 1417408329 | Sean Fenton | Social Worker | 138 N Fulton Ave, Mount Vernon, NY 10550-1507 | 2016-10-17 |
| 1831543115 | Elias Steven Gootzeit | Social Worker | 351 Bedford Ave, Mount Vernon, NY 10553-2018 | 2016-04-22 |
| 1154782266 | Della Ellinger | Social Worker | 7145 Johnstown Rd, Mount Vernon, OH 43050-7521 | 2016-03-16 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98273 |
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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.