CATHOLIC COMMUNITY SERVICES WESTERN WASHINGTON (NPI# 1669645073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669645073 |
| Entity Type | Organization |
| Organization Name | CATHOLIC COMMUNITY SERVICES WESTERN WASHINGTON |
| Other Organization Name | CCS RECOVERY CENTER-SNOHOMISH |
| Practice Address |
2610 Wetmore Ave Everett WA 98201-2927 |
| Mailing Address |
515 Lakeway Dr Bellingham WA 98225-5233 |
| Practice Telephone | 4252585270 |
| Practice Fax Number | 4252585275 |
| Mailing Telephone | 3606762187 |
| Mailing Fax Number | 3606762162 |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2014-05-14 |
| Authorized Official Name | MS. DONNA M WELLS (DIRECTOR) |
| Authorized Official Telephone | 3606762187 |
| Authorized Official Credential | MA, CDP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
31034400 | WA | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
31085700 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1990373 | 05 | |
| WA | 1994771 | 05 |
| Other Name | Type Code |
|---|---|
| CCS RECOVERY CENTER-Snohomish | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396817375 | Catholic Community Services Western Washington | Clinic/Center | 515 Lakeway Dr, Bellingham, WA 98225-5233 | 2006-11-14 |
| Street Address |
2610 WETMORE AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366624900 | Dulcy Sciglibaglio-trujillo | Counselor | 2610 Wetmore Ave, Everett, WA 98201-2927 | 2007-12-05 |
| 1023659752 | Carly Ann Blankinship | Counselor | 2610 Wetmore Ave, Everett, WA 98201-2927 | 2019-10-03 |
| 1306404231 | Vanita Tucker | Counselor | 2610 Wetmore Ave, Everett, WA 98201-2927 | 2019-06-05 |
| 1699259259 | Aleis Maxim | Counselor | 2610 Wetmore Ave, Everett, WA 98201 | 2018-09-19 |
| 1871097055 | Shelley Maree Stewart | Counselor | 2610 Wetmore Ave, Everett, WA 98201-2927 | 2018-03-21 |
| 1669986931 | Caitlin Marie O'sullivan | Counselor | 2610 Wetmore Ave, Everett, WA 98201-2927 | 2017-11-25 |
| 1588178966 | Gregory Watson | Counselor | 2610 Wetmore Ave, Everett, WA 98201-2927 | 2017-11-21 |
| 1851804876 | Anthony Beldin | Counselor | 2610 Wetmore Ave, Everett, WA 98201-2927 | 2017-11-13 |
| 1386153815 | Vito John Masinelli | Counselor | 2610 Wetmore Ave, Everett, WA 98201-2927 | 2017-09-27 |
| 1194258574 | Elise Birdsong | Counselor | 2610 Wetmore Ave, Everett, WA 98201-2927 | 2017-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437648136 | American Behavioral Health Systems, Inc. | Clinic/Center | 8625 Evergreen Way Ste 100, Everett, WA 98208-2620 | 2018-05-08 |
| 1831579614 | Affordable Substance Health Services | Clinic/Center | 1316 Wall St Ste 2c, Everett, WA 98201-3942 | 2015-06-05 |
| 1124159157 | Evergreen Manor Opt Everett | Clinic/Center | 2932 Hoyt Ave, Everett, WA 98201-4003 | 2007-03-09 |
| 1942618889 | Evergreen Manor | Clinic/Center | 2601 Summit Ave, Everett, WA 98201-3309 | 2014-07-23 |
| 1174784185 | Sea-mar Community Health Center | Clinic/Center | 5007 Claremont Way, Everett, WA 98203-3321 | 2008-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145682 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw Ste 120, Lynnwood, WA 98036-4613 | 2020-08-18 |
| 1386278372 | Social Treatment Opportunity Programs II, Inc | Clinic/Center | 600 S 1st Ave, Othello, WA 99344-1703 | 2020-02-27 |
| 1326672692 | Excelsior Integrated Care Center LLC | Clinic/Center | 3910 W. Indian Trail Rd, Spokane, WA 99208-4739 | 2020-02-26 |
| 1659919561 | Baart Behavioral Health Services, Inc. | Clinic/Center | 716 S Chase St, Port Angeles, WA 98362-6122 | 2019-12-11 |
| 1346888260 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1520 Ne Riddell Rd Ste 110, Bremerton, WA 98310-3005 | 2019-12-11 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1780174441 | American Behavioral Health Systems, Inc. | Clinic/Center | 715 E Sprague Ave Ste 107, Spokane, WA 99202-2142 | 2018-05-17 |
| 1598255267 | American Behavioral Healt Systems, Inc. | Clinic/Center | 7208 267th St Nw Ste A-100, Stanwood, WA 98292-6289 | 2018-05-17 |
| 1487143350 | Steve Parker | Clinic/Center | 1206 State Ave Ste H, Marysville, WA 98270-3645 | 2018-05-07 |
| 1013444181 | Freedom Recovery, LLC | Clinic/Center | 715 E Yelm Ave Ste 6, Yelm, WA 98597-8714 | 2017-05-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CATHOLIC COMMUNITY SERVICES WESTERN WASHINGTON.
| 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.