Individual provider Active NPI

Renee A Arcement, MSW, LICSW

  • Clinical Social Worker
  • Bremerton, WA
National Provider Identifier
1073968319
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60820025 Issued in WA
Practice address
7500 Old Military Rd NE Ste 103
Bremerton, WA 98311-3242
Phone
(360) 698-9258
NPI assigned
Apr 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC60509033 WA
Clinical Social Worker 1041C0700X 60820025 WA Primary

Addresses

Primary practice location

7500 Old Military Rd NE Ste 103
Bremerton, WA 98311-3242

Mailing address

PO Box 1564
Poulsbo, WA 98370-0179
Phone (360) 779-6906

Other identifiers 1

IdentifierTypeStateIssuer
60820025OtherWALICSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60820025WAMDClinical Social Worker
SC60509033WAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1073968319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1564",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983700179",
            "telephone_number": "360-779-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 OLD MILITARY RD NE STE 103",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113242",
            "telephone_number": "360-698-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCEMENT",
        "first_name": "RENEE",
        "middle_name": "A",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-24",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60509033",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60820025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "60820025",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.