SUSAN MORDICK


Address: 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254
Phone: 3609933000

SUSAN MORDICK (NPI# 1295356236) 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) 1295356236
Entity Type Individual
Full Name SUSAN MORDICK
Practice Address 6926 Ne Fourth Plain Blvd
Vancouver
WA 98661-7254
Practice Telephone 3609933000
Enumeration Date 2020-04-30
Last Update Date 2020-04-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 6926 NE FOURTH PLAIN BLVD
City VANCOUVER
State WA
Zip Code 98661-7254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871552455 Hi School Pharmacy Inc Durable Medical Equipment & Medical Supplies 6926 Ne Fourth Plain Blvd, Suite B, Vancouver, WA 98661-7254 2006-03-21
1316548621 John Lee Wilson Counselor 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 2020-11-03
1952902264 Kahla Nicole Stewart Specialist 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 2020-11-03
1255939807 Melissa Annmarie Mercer Registered Nurse 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 2020-10-15
1295332328 Cheryl A Brown-hendrix Counselor 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 2020-10-01
1285249854 Leah Martine Counselor 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 2020-09-10
1659985224 Lauryn E Sanders Counselor 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 2020-09-01
1972116465 Mikaela Elaine Hines Counselor 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 2020-08-25
1104439686 Geoffrey Severin Wampach Counselor 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 2020-08-25
1265044572 Roseanna Ruiz Counselor 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 2020-08-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982228417 Cynthia Ann Holt Social Worker 4608 Ne 47 Street, Vancouver, WA 98661 2020-06-01
1235793027 James Dostert Counselor 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 2019-04-26
1306305289 Kathryn Susanne Scott Social Worker Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 2019-03-19
1952860637 Alice Rogers Occupational Therapist Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 2019-03-13
1053878538 Paula Moore Counselor 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 2019-02-21
1558825729 Cassandra Marie Nichols Counselor 1601 E 4th Blvd, Vancouver, WA 98661 2019-01-22
1548734148 Lisa Kelly Counselor 1601 E 4th Blvd., Vancouver, WA 98661 2019-01-16
1518444025 Columbia Pharmacy Pharmacy 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 2018-07-26
1023505229 Ellen Barbour Counselor 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 2018-04-13
1679096325 Brian Scott Coleman Counselor 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 2017-07-24
Find all providers in zip 98661

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720554256 Kay Marie Roberson Peer Specialist 1601 E Fourth Plain Blvd Ste A-152, Vancouver, WA 98661-3713 2018-10-23
1497241657 Chelsey Nicole Parker Peer Specialist 9815 Ne 3rd St, Vancouver, WA 98664 2018-07-10
1043713449 Claudia Gutierrez Peer Specialist 4601 E 18th St, Vancouver, WA 98661-6270 2018-03-12
1679082598 Christopher Lewis Schwab Peer Specialist 5197 Nw Lower River Rd, Vancouver, WA 98660 2017-09-22
1225547151 Dionne Marie Clark Peer Specialist 9105 Ne Highway 99 Ste 201a, Vancouver, WA 98665-8974 2017-09-22
1265974620 Amanda Ewing Peer Specialist 16417 Ne 73rd St, Vancouver, WA 98682-1918 2016-11-15
1104438282 Aydree Lee Stuart Peer Specialist 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 2020-08-19
1548887870 Oscar Daniel Beltran Leyva Peer Specialist 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 2020-07-02
1336760917 Lindsey Sinks Peer Specialist 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 2020-05-05
1235768557 Katherine Lee Anne Khalifa Peer Specialist 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 2020-04-07
Find all providers in VANCOUVER

Competitor

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City VANCOUVER
Zip Code 98661

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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