DEPARTMENT OF SOCIAL (NPI# 1144295080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144295080 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF SOCIAL |
| Other Organization Name | WESTERN STATE HOSPITAL |
| Practice Address |
9601 Steilacoom Blvd Sw Tacoma WA 98498-7213 |
| Mailing Address |
9601 Steilacoom Blvd Sw Lakewood WA 98498-7212 |
| Practice Telephone | 2535828900 |
| Practice Fax Number | 2537562963 |
| Mailing Telephone | 2535828900 |
| Mailing Fax Number | 2537562963 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | MR. DONALD BRENT LITEANU (INTERIM MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2537562599 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| WESTERN STATE HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760787097 | Department of Social | Pharmacy | 9601 Stellacoom Blvd Sw, Tacoma, WA 98498 | 2011-01-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEPARTMENT OF SOCIAL AND EMPLOYMENT | 1000 S Main St Ste 216, Salinas, CA 93901-2390 |
| System for Award Management (SAM) Entities | DEPARTMENT OF SOCIAL SERVICES | 700 E Yosemite Ave, Madera, CA 93638-3359 |
| Street Address |
9601 STEILACOOM BLVD SW |
| City | TACOMA |
| State | WA |
| Zip Code | 98498-7213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035728 | Frederick Steven Jestrab | Pharmacist | 9601 Steilacoom Blvd Sw, Western State Hospital- Mail Stop 13-100, Tacoma, WA 98498-7213 | 2005-06-30 |
| 1043741333 | Telecare Mental Health Services of Washington, Inc | Community/Behavioral Health | 9601 Steilacoom Blvd Sw, Bldg 27, Tacoma, WA 98498-7212 | 2017-03-27 |
| 1184005639 | David Flores | Social Worker | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7212 | 2015-06-10 |
| 1861889255 | Haley Gummelt | Psychologist | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7212 | 2015-04-23 |
| 1720408719 | Kyung Thompson | Pharmacist | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7212 | 2014-04-17 |
| 1710287479 | Western State Hospital | Psychiatric Hospital | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7212 | 2010-10-28 |
| 1538470497 | James Richard Mcguire | Psychiatry & Neurology | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7212 | 2010-06-25 |
| 1780913657 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 9601 Steilacoom Blvd Sw, Bldg 27, Tacoma, WA 98498-7212 | 2009-12-23 |
| 1578898375 | Michelle Hoffman | Pharmacist | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7213 | 2009-10-12 |
| 1447483037 | Charles Edward Pascoe | Licensed Practical Nurse | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7213 | 2009-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861045114 | James Ngigi Wachira | Social Worker | 7409 Coral Ln Sw, Lakewood, WA 98498 | 2019-07-16 |
| 1477111227 | Prana Briggs | Behavior Technician | 7902 Jade Drive Sw, Lakewood, WA 98498 | 2019-06-05 |
| 1528595212 | Palak Dweepkumar Shah | Physical Therapist | 10401 116th St Ct Sw, Apt K, Lakewood, WA 98498 | 2017-05-12 |
| 1821546946 | Epc General Contracting Services LLC | Home Health | 7423 Onyx Dr Sw, Lakewood, WA 98498 | 2016-09-18 |
| 1700212149 | Laverna Holwill Spain | Counselor | 8404 83rd Ave Sw Ste F, Lakewood, WA 98498 | 2013-09-17 |
| 1760787097 | Department of Social | Pharmacy | 9601 Stellacoom Blvd Sw, Tacoma, WA 98498 | 2011-01-18 |
| 1730321043 | James David Eshelman | Dentist | 8817-69th St. Ct. S.w., Lakewood, WA 98498 | 2009-04-01 |
| 1235393422 | Risa Leanne Salters | Social Worker | Western State Hospital 9601 Steilacoom Blvd. Sw, Lakewood, WA 98498 | 2008-07-16 |
| 1750596243 | Ruth Anne Hickey | Counselor | 12700 Gravelly Lake Dr Sw, Lakewood, WA 98498 | 2007-05-10 |
| 1982818803 | Linda J Leblanc | Nurse Practitioner | 10814 Deepwood Dr Sw, Lakewood, WA 98498 | 2007-05-09 |
| Find all providers in zip 98498 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083676340 | Va Puget Sound Health Care System | Psychiatric Hospital | Va Puget Sound Health Care System, American Lake D, 9600 Veterans Drive Sw, Tacoma, WA 98493-0001 | 2006-04-03 |
| 1710287479 | Western State Hospital | Psychiatric Hospital | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7212 | 2010-10-28 |
| 1942481841 | Amanda Joanne Hendricks | Psychiatric Hospital | 815 S Pearl St, Tacoma, WA 98465-2117 | 2007-11-19 |
| 1811178809 | David Elmore | Psychiatric Hospital | 815 S Pearl St, Tacoma, WA 98465-2117 | 2007-11-18 |
| 1326229402 | Carmen Maxwell | Psychiatric Hospital | 815 S Pearl St, Tacoma, WA 98465-2117 | 2007-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750881017 | Rainier Springs, LLC | Psychiatric Hospital | 2805 Ne 129th St, Vancouver, WA 98686-3324 | 2018-02-13 |
| 1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
| 1871726570 | Recovery Innovations, Inc | Psychiatric Hospital | 2150 Freeman Road East, Fifie, WA 98424-3776 | 2009-08-27 |
| 1467440602 | Department of Social Dept of Shs Div of Instns | Psychiatric Hospital | 850 Maple St, Medical Lake, WA 99022-0800 | 2005-10-12 |
| 1487648721 | Child Study and Treatment Center | Psychiatric Hospital | 8805 Steilacoom Blvd Sw, Lakewood, WA 98498-4770 | 2005-09-01 |
| 1649804253 | Vest Thurston LLC | Psychiatric Hospital | 605 Woodland Square Loop Se, Lacey, WA 98503-1045 | 2020-02-24 |
| 1336605849 | Vest Thurston LLC | Psychiatric Hospital | 605 Woodland Square Loop Se, Lacey, WA 98503-1045 | 2019-02-20 |
| 1932698107 | Spokane Behavioral Health LLC | Psychiatric Hospital | 104 W 5th Ave, Spokane, WA 99204-4880 | 2018-05-03 |
| 1508365297 | Rebecca Noll Walkling | Psychiatric Hospital | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2018-02-08 |
| 1336558097 | Our Lady of Lourdes Hospital At Pasco | Psychiatric Hospital | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2014-08-07 |
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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.