PORT GAMBLE S'KLALLAM SOCIAL SERVICES (NPI# 1649391871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649391871 |
| Entity Type | Organization |
| Organization Name | PORT GAMBLE S'KLALLAM SOCIAL SERVICES |
| Practice Address |
32014 Little Boston Rd Ne Kingston WA 98346-9734 |
| Practice Telephone | 3602979601 |
| Practice Fax Number | 3602979614 |
| Mailing Telephone | 3602979601 |
| Mailing Fax Number | 3602979614 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KERSTIN MARGARETA POWELL (HEALTH CENTER BUSINESS OFFICE MANAG) |
| Authorized Official Telephone | 3602979601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1981125 | 05 |
| Street Address |
32014 LITTLE BOSTON RD NE |
| City | KINGSTON |
| State | WA |
| Zip Code | 98346-9734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942257027 | Piero Francis Sandri | Specialist | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2006-05-27 |
| 1518585579 | Port Gamble S'klallam Tribe | Clinic/Center | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2020-07-07 |
| 1467874156 | Lane Daniel | Counselor | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2014-01-14 |
| 1902056955 | Dorie M Salem-soule | Dental Hygienist | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2008-09-26 |
| 1447418785 | Katarzyna Hoskins | Counselor | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2008-05-22 |
| 1417114869 | Deanna Griffeth | Counselor | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2008-05-21 |
| 1760677140 | Carol J Croff | Registered Nurse | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2007-09-10 |
| 1952596629 | Holly A Blanton | Registered Nurse | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2007-09-06 |
| 1043435563 | Port Gamble S'klallam Orca Pride | Clinic/Center | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2007-04-17 |
| 1669531067 | Port Gamble S'klallam Dental Clinic | Clinic/Center | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725688 | Sierra Joye Lari | Massage Therapist | 8202 Ne Highway 104, Suite 105, Kingston, WA 98346 | 2020-03-12 |
| 1235641705 | Reba Lee Harris | Counselor | 7550 Little Boston Road N.e, Kingston, WA 98346 | 2017-10-24 |
| 1134592421 | Honeycomb Medical Services, A Med Corp | Physician Assistant | 700 Alamo Pintado Road, Solvang, CA 98346 | 2015-11-09 |
| 1588000764 | Donald G Hill | Contractor | 26325 Ne Illinois Ave, B 105, Kingston, WA 98346 | 2013-05-15 |
| 1104161900 | Marcus Dean Atkinson | Massage Therapist | 8202 Ne Hwy 104, Ste 105, Kingston, WA 98346 | 2012-12-05 |
| 1245580687 | Samantha Christine Kottke | Massage Therapist | 25960 Ohio Ave Suite 206, Kingston, WA 98346 | 2012-09-13 |
| 1265713390 | Karen Dale Friend | Pharmacist | 8196 State Highway 104, Kingston, WA 98346 | 2011-09-02 |
| 1750526323 | Megan Elizabeth Pratt | Mechanotherapist | 25925 Washington Blvd., Kingston, WA 98346 | 2008-12-10 |
| 1073787412 | Cindy Pamela Haines | Massage Therapist | 25925 Washington Boulevard Ne, Kingston, WA 98346 | 2008-04-16 |
| 1417163031 | Dian Aletha Poyssick | Pharmacist | 8196 State Route 104, Kingston, WA 98346 | 2007-05-14 |
| Find all providers in zip 98346 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1992279319 | Familywise Northwest, Pllc | Clinic/Center | 3801 E Mercer Way, Mercer Island, WA 98040-3805 | 2019-01-18 |
| 1346758976 | Steve Merritt Counseling LLC | Clinic/Center | 850 Haggen Dr, Burlington, WA 98233-3317 | 2018-01-17 |
| 1699153767 | Tenacity Counseling and Court Services, Pllc | Clinic/Center | 16113 Densmore Ave N, Shoreline, WA 98133-5828 | 2015-05-11 |
| 1952719825 | Crystal Garrison Np, LLC | Clinic/Center | 304 Se Hearthwood Blvd # 871927, Vancouver, WA 98684-7551 | 2014-07-23 |
| 1306253067 | Heather Blackmore Ma Lmfta | Clinic/Center | 374 Ne Max William Loop, Poulsbo, WA 98370 | 2014-07-15 |
| 1447551221 | Atlantic Street Center | Clinic/Center | 2103 S Atlantic St, Seattle, WA 98144-3615 | 2010-11-09 |
| 1265636815 | Vashon Youth and Family Services | Clinic/Center | 20110 Vashon Hwy Sw, Vashon, WA 98070 | 2007-06-14 |
| 1073639753 | Casteele, Williams & Associates Counseling Agency Inc | Clinic/Center | 8833 Pacific Ave Ste D, Tacoma, WA 98444-6490 | 2007-03-22 |
| 1306851175 | Daybreak Youth Services | Clinic/Center | 11910 Ne 154th St, Brush Prairie, WA 98606 | 2006-07-30 |
| Find all providers with the same taxonomy | ||||
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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.