Individual provider Active NPI

Barbara Eileen Felix, LICSW

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1083953939
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60159629 Issued in WA
Practice address
955 Officers Row
Vancouver, WA 98661-3849
Phone
(360) 600-4430
NPI assigned
Feb 12, 2013
Last updated
May 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2020

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 1517 OR
Clinical Social Worker 1041C0700X LW60159629 WA Primary

Addresses

Primary practice location

955 Officers Row
Vancouver, WA 98661-3849

Mailing address

5510 NW Douglas CT
Camas, WA 98607-9104
Phone (360) 600-4430

Other practice location 1

2256 NW Pettygrove St
Portland, OR 97210-2608
Phone (360) 600-4430

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
1517ORMDClinical Social Worker
LW60159629WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1083953939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 NW DOUGLAS CT",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986079104",
            "telephone_number": "360-600-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 OFFICERS ROW",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613849",
            "telephone_number": "360-600-4430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2256 NW Pettygrove St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972102608",
            "country_code": "US",
            "telephone_number": "360-600-4430",
            "fax_number": "360-834-6059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELIX",
        "first_name": "BARBARA",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "1517",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60159629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.