JOANNE E KOOISTRA (NPI# 1235363763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235363763 |
| Entity Type | Individual |
| Full Name | JOANNE E KOOISTRA |
| Practice Address |
600 Broadway St Longview WA 98632-3256 |
| Mailing Address |
Po Box 249 Longview WA 98632-7154 |
| Practice Telephone | 3604142236 |
| Practice Fax Number | 3604142788 |
| Mailing Telephone | 3604142000 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2010-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60084292 | WA | Behavioral Health & Social Service Providers |
| Street Address |
600 BROADWAY ST |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710634 | Anca Balasu | Psychiatry & Neurology | 600 Broadway St, Longview, WA 98632-3256 | 2005-06-20 |
| 1568930576 | Fresenius Kidney Care Longview, LLC | Clinic/Center | 600 Broadway St, Longview, WA 98632-3256 | 2018-11-07 |
| 1841765864 | Tod C Peterson | Nurse Practitioner | 600 Broadway St, Longview, WA 98632-3256 | 2018-10-05 |
| 1861917882 | Roderick Jerome Williams | Nurse Practitioner | 600 Broadway St, Longview, WA 98632-3256 | 2017-08-10 |
| 1326490822 | Yehonatan Shilo | Psychiatry & Neurology | 600 Broadway St, Longview, WA 98632-3256 | 2016-07-07 |
| 1730547555 | Tonya Dorough | Counselor | 600 Broadway St, Longview, WA 98632-3256 | 2016-02-08 |
| 1013395094 | Bozena Drabik | Counselor | 600 Broadway St, Longview, WA 98632-3256 | 2015-05-11 |
| 1699049304 | Tanya Kehaulani Martin | Social Worker | 600 Broadway St, Longview, WA 98632-3256 | 2012-02-27 |
| 1679745624 | Andrea K. Street | Dietitian, Registered | 600 Broadway St, Longview, WA 98632-3256 | 2008-03-31 |
| 1972726867 | Cowlitz Family Health Center | Clinic/Center | 600 Broadway St, Longview, WA 98632-3256 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| 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 |
|---|---|---|---|---|
| 1336749563 | Kelly Jo Rolland | Social Worker | 2904 4th St Ste 102, Longview, TX 75605-5124 | 2020-10-27 |
| 1316570435 | Nicole Elizabeth Weakley | Social Worker | 1127 Judson Rd Ste 100, Longview, TX 75601-5167 | 2020-02-17 |
| 1184268575 | Cindy Bridey Plata | Social Worker | 1508 W Fairmont St Ste A, Longview, TX 75604-4500 | 2019-10-29 |
| 1831732619 | Natasha Amador | Social Worker | 703 Viewcrest Dr, Longview, TX 75604-4928 | 2019-10-23 |
| 1629551486 | Christy R. Collins, Lcsw Inc | Social Worker | 1011 W Loop 281 Ste 5, Longview, TX 75604-2932 | 2018-09-07 |
| 1336519875 | Levi Migneault | Social Worker | 1417 15th Ave Ste 7, Longview, WA 98632-3736 | 2015-09-27 |
| 1164810446 | Julia Jacobs | Social Worker | 1338 Commerce Ave, Longview, WA 98632 | 2015-01-08 |
| 1265842819 | Christina Collins | Social Worker | 1115 Jaycee Dr, Longview, TX 75604-5802 | 2014-05-05 |
| 1245665025 | David Lee Moeglein | Social Worker | True Counseling, Pllc, 1430 16th Ave, Longview, WA 98632 | 2013-09-11 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| Find all providers in LONGVIEW | ||||
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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.