Individual provider Active NPI

Terryann Dumyahn

  • Clinical Social Worker
  • Rochester, WA
National Provider Identifier
1225333107
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60803256 Issued in WA
Practice address
11324 School Land Rd SW
Rochester, WA 98579-9677
Phone
(815) 878-1327
NPI assigned
Jan 24, 2011
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 IL
Clinical Social Worker 1041C0700X LW60803256 WA Primary

Addresses

Primary practice location

11324 School Land Rd SW
Rochester, WA 98579-9677

Mailing address

11324 School Land Rd SW
Rochester, WA 98579-9677
Phone (815) 878-1327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220428002214 WA Practitioner - Clinical Social Worker 0042607608 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Options Consulting, PLLC Clinical CurrentSince Oct 31, 2021 Accepting new patients
Mindful Therapy Group PC Clinical CurrentSince Apr 22, 2022 Accepting new patients

Locations

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

1542 Bishop Rd SW
Bldg 10
Tumwater, WA 98512

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1225333107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11324 SCHOOL LAND RD SW",
            "city": "ROCHESTER",
            "state": "WA",
            "postal_code": "985799677",
            "telephone_number": "815-878-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11324 SCHOOL LAND RD SW",
            "city": "ROCHESTER",
            "state": "WA",
            "postal_code": "985799677",
            "telephone_number": "815-878-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMYAHN",
        "first_name": "TERRYANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60803256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, WA

Sources for this page

Verify at the official NPI Registry.