MADYSEN PRUSS (NPI# 1609242700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609242700 |
| Entity Type | Individual |
| Full Name | MADYSEN PRUSS |
| Practice Address |
3223 Robe Menzel Rd Granite Falls WA 98252 |
| Mailing Address |
3223 Robe Menzel Rd Granite Falls WA 98252-9428 |
| Practice Telephone | 4254041988 |
| Mailing Telephone | 4254041988 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
3223 ROBE MENZEL RD |
| City | GRANITE FALLS |
| State | WA |
| Zip Code | 98252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755875 | Sonia Guadalupe Lopez-nava | Interpreter | 304 E Stanley Street, Granite Falls, WA 98252 | 2020-09-21 |
| 1265807739 | New Day Community Counseling, LLC | Community/Behavioral Health | 108 Cascase Ave. Suite A, Granite Falls, WA 98252 | 2015-12-09 |
| 1245614924 | Krystal Schultz | Counselor | 108 Cascade Ave, Ste. A, Granite Falls, WA 98252 | 2015-07-13 |
| 1760804827 | Barry Tanne, M.d. | Family Medicine | 403 South Granite Ave, Granite Falls, WA 98252 | 2014-01-09 |
| 1548400187 | K L Everett Dds Pllc | Clinic/Center | 207 E Stanley St Suite B, Granite Falls, WA 98252 | 2009-02-23 |
| 1154580637 | Julie Ann Stark | Specialist | 110 South Alder Ave, Granite Falls, WA 98252 | 2008-06-09 |
| 1750581088 | James Charles Kussy | General Practice | 6119 Robe Menzel Road, Granite Falls, WA 98252 | 2007-07-24 |
| 1326241027 | Kristi Ann Vitale I | Massage Therapist | 403 W. Stanley Street, Granite Falls, WA 98252 | 2007-06-08 |
| 1134343254 | Snohomish County Fire District 17 | Ambulance | 116 S. Granite Avenue, Granite Falls, WA 98252 | 2007-04-12 |
| 1467594481 | Julie Tinsley | Massage Therapist | 106 S. Granite Ave, Granite Falls, WA 98252 | 2007-02-13 |
| Find all providers in zip 98252 | ||||
| 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 |
|---|---|---|---|---|
| 1396244430 | Stacy Biggs | Social Worker | 4672 Grace Chapel Rd, Granite Falls, NC 28630-9540 | 2018-02-05 |
| 1831605203 | Susan Elaine Peterson-bones | Social Worker | 818 Prentice St, Granite Falls, MN 56241 | 2017-12-21 |
| 1659799609 | Joann L. Steinbach | Social Worker | 345 10th Ave., Granite Falls, MN 56241 | 2014-04-06 |
| 1326144395 | Darlene Berry | Social Worker | 56 N Highland Ave, Granite Falls, NC 28630-1205 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427715 | Jerald Rodman | Social Worker | 2565 Kristine Ct, Centralia, WA 98531-8808 | 2020-11-02 |
| 1811597826 | Leika Baquiran | Social Worker | 33301 1st Way S # C-140, Federal Way, WA 98003-6252 | 2020-10-28 |
| 1093315228 | Yaffa Cohen | Social Worker | 4574 187th Pl Se, Issaquah, WA 98027-9731 | 2020-10-27 |
| 1063011609 | Caroline A Lanza | Social Worker | 13035 39th Ave Ne, Seattle, WA 98125-4613 | 2020-10-24 |
| 1740888338 | Susan Lee Garrett-jones | Social Worker | 30517 7th Ave. Ne, Stanwood, WA 98292-9665 | 2020-10-15 |
| 1730787540 | Regina Yeh | Social Worker | 5011b 44th Ave Ne, Seattle, WA 98105-2909 | 2020-10-14 |
| 1144827551 | Heidi Elizabeth Hartz | Social Worker | 9040 Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431-0001 | 2020-10-08 |
| 1730786252 | Alexandra Elias Sharman | Social Worker | 5735 91st Ave Se, Mercer Island, WA 98040-5032 | 2020-10-07 |
| 1639786262 | Charina Carothers | Social Worker | 631 S Richard Allen Ct Ste 104, Spokane, WA 99202-2345 | 2020-09-28 |
| 1700493806 | Alisa M Mattiazzi | Social Worker | 10006 100th Ave Sw, Lakewood, WA 98498-3124 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | GRANITE FALLS |
| Zip Code | 98252 |
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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.