Individual provider Active NPI

Brenda Marie Bible, LCSW , LICSW

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1134422629
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60801332 Issued in WA
Practice address
717 NE 61St St Ste 202
Vancouver, WA 98665-8756
Phone
(512) 769-4430
NPI assigned
Dec 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L7279 OR
Clinical Social Worker 1041C0700X 51204 TX
Clinical Social Worker 1041C0700X LW60801332 WA Primary

Addresses

Primary practice location

717 NE 61St St Ste 202
Vancouver, WA 98665-8756

Mailing address

717 NE 61St St Ste 202
Vancouver, WA 98665-8756
Phone (512) 769-4430

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
L7279ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eudaimonia Counseling & Wellness LLC Clinical Current Accepting new patients

Locations

717 NE 61st St
Ste 200
Vancouver, WA 98665

717 NE 61st St
Ste 202
Vancouver, WA 98665
Phone (360) 217-9434

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1134422629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 NE 61ST ST STE 202",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658756",
            "telephone_number": "512-769-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 NE 61ST ST STE 202",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658756",
            "telephone_number": "512-769-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBLE",
        "first_name": "BRENDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW , LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7279",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51204",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60801332",
            "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 Mar 22, 2024; 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.