Still Waters Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

STILL WATERS COUNSELING

Practice address

2910 Harris St
Eureka, CA 95503-4811

Phone

(707) 834-5408

Fax

(707) 443-4519

NPI assigned

Sep 29, 2017

Organization subpart

No

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

Authorized official

Name

Patricia Anne Blodgett, LCSWNPI 1285969436

Title

Owner/Operator

Phone

(707) 834-5408

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia A Blodgett, LCSW 29582

  • Clinical Social Worker
  • Eureka, CA
  • NPI 1285969436
  NPD Authorized official

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1104335470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 F ST STE 205",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011040",
            "telephone_number": "707-834-5408",
            "fax_number": "707-443-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034811",
            "telephone_number": "707-834-5408",
            "fax_number": "707-443-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "BLODGETT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "707-834-5408",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SERVICES",
            "identifier": "1285969436",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Stewart, MD
• Doug Stewart, PPS
• Sally Frances Stewart, MSW
• Teresa M Stewart, LVN
• Jonathan Jesse Stickels Jr.
• Stillwater Counseling LLC
• Christine M Stirtz, RN
• Sandor K Stockfleth
• Candy A. Stockton-Joreteg, M.D.
• Deepak Kumar Stokes, M.D.

• Clinical Social Worker in Eureka, CA
• Providers in Eureka, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.