AUNASTASIA FANTASIA MARIE ZSIDIEWICZ (NPI# 1689142085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689142085 |
| Entity Type | Individual |
| Full Name | AUNASTASIA FANTASIA MARIE ZSIDIEWICZ |
| Credential | LICSWA, AAC, CADC I |
| Practice Address |
65 N Highway 101 Ste 204 Warrenton OR 97146-9371 |
| Practice Telephone | 5033250241 |
| Practice Fax Number | 5038612043 |
| Mailing Telephone | 5033250241 |
| Mailing Fax Number | 5038612043 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SC61098820 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2120 Exchange St Ste 203, Astoria, OR 971033364 | 5033250241 |
| Street Address |
65 N HIGHWAY 101 STE 204 |
| City | WARRENTON |
| State | OR |
| Zip Code | 97146-9371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346440229 | Juli Judene Knapp | Case Manager/Care Coordinator | 65 N Highway 101 Ste 204, Warrenton, OR 97146-9371 | 2007-07-19 |
| 1992348718 | Mayleena Christine Jones | Case Manager/Care Coordinator | 65 N Highway 101 Ste 204, Warrenton, OR 97146-9371 | 2019-10-24 |
| 1356901979 | Joshua Terrill | Community/Behavioral Health | 65 N Highway 101 Ste 204, Warrenton, OR 97146-9371 | 2019-06-17 |
| 1386121242 | Mary Elizabeth Graybeal | Case Manager/Care Coordinator | 65 N Highway 101 Ste 204, Warrenton, OR 97146-9371 | 2018-07-24 |
| 1710464680 | Lindsay Erin Turk | Case Manager/Care Coordinator | 65 N Highway 101 Ste 204, Warrenton, OR 97146-9371 | 2018-07-24 |
| 1942669676 | Melissa Stokesbary | Case Manager/Care Coordinator | 65 N Highway 101 Ste 204, Warrenton, OR 97146-9371 | 2016-02-23 |
| 1659738870 | Margaret Johnson | Case Manager/Care Coordinator | 65 N Highway 101 Ste 204, Warrenton, OR 97146-9371 | 2016-01-19 |
| 1629434303 | Audrey Williams | Case Manager/Care Coordinator | 65 N Highway 101 Ste 204, Warrenton, OR 97146-9371 | 2016-01-11 |
| 1891169462 | Janine Dean | Case Manager/Care Coordinator | 65 N Highway 101 Ste 204, Warrenton, OR 97146-9371 | 2015-11-19 |
| 1457724296 | Cynthia Kaliszewski | Counselor | 65 N Highway 101 Ste 204, Warrenton, OR 97146-9371 | 2015-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629685920 | Alexandroff Dmd PC | Dentist | 1085 E Harbor Drive, Warrenton, OR 97146 | 2020-09-30 |
| 1265080758 | Emily Ann Brennan | Pharmacist | 145 South, Us-101, Warrenton, OR 97146 | 2019-08-28 |
| 1932643475 | Janice Coughlin | Dental Hygienist | 1630 Se Ensign Lane, Warrenton, OR 97146 | 2016-12-16 |
| 1568906477 | Radiant Care Afh 'llc' | Custodial Care Facility | 52 Nw Birch Ct, Warrenton, OR 97146 | 2016-12-12 |
| 1740634468 | Ron Arleigh Tamayo | Pharmacist | 145 Us-101, Attn: Rite Aid, Warrenton, OR 97146 | 2016-04-19 |
| 1053781864 | Kristopher Smith | Counselor | 65 North Highway 101, Suite 204, Warrenton, OR 97146 | 2015-10-06 |
| 1831577196 | Elizabeth Dietrich Erikson | Family Medicine | 1639 Se Ensign Ln Ste B103, Warrenton, OR 97146 | 2015-05-07 |
| 1164774592 | Tuan Anh Trinh | Pharmacist | 1625 E. Harbor Dr., Warrenton, OR 97146 | 2012-10-09 |
| 1366715054 | Suzanne Marie Jagger | Dental Hygienist | 181 Sw Kalmia Ave, Warrenton, OR 97146 | 2012-02-11 |
| 1669705992 | Costco Wholesale Corporation | Pharmacy | 1804 Se Ensign Ln, Warrenton, OR 97146 | 2009-09-18 |
| Find all providers in zip 97146 | ||||
| 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 |
|---|---|---|---|---|
| 1447861042 | Melissa Beth Shore | Social Worker | 17 Horner St, Warrenton, VA 20186-3415 | 2020-08-17 |
| 1316306434 | Anne Zewatsky | Social Worker | 92 Main St Ste 201-6, Warrenton, VA 20186-3366 | 2016-02-17 |
| 1871968727 | Gina Lyn Pincosy | Social Worker | 3604 Sutherland Ct, Warrenton, VA 20187-3973 | 2015-12-03 |
| 1306108931 | Carmen Kay Schulze | Social Worker | 2 Buckhorn Ct, Warrenton, MO 63383-2912 | 2012-06-11 |
| 1720351281 | Lynn Renee Joyce | Social Worker | 283 W Veterans Memorial Pkwy, Warrenton, MO 63383-1067 | 2012-02-14 |
| 1881752640 | Kathleen M Blondin | Social Worker | 404 E Booneslick, Ste B, Warrenton, MO 63383 | 2006-12-05 |
| 1578631321 | Bonnie J Wessler | Social Worker | 404 E Booneslick Rd, Suite B, Warrenton, MO 63383-2025 | 2006-12-01 |
| 1164502456 | Linda Berman | Social Worker | 818 Blackwell Rd, Warrenton, VA 20186 | 2006-10-17 |
| 1942399811 | Mary Beth E Williams | Social Worker | 9 N 3rd St, #14, Warrenton, VA 20186-3404 | 2006-10-11 |
| 1164449781 | Victoria S Mcclave | Social Worker | 54 E Lee Street, Warrenton, VA 20186 | 2006-07-17 |
| Find all providers in WARRENTON | ||||
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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.