Organization Active NPI

North Cascade Recovery

  • Clinical Social Worker
  • Mount Vernon, WA
National Provider Identifier
1235795493
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NORTH CASCADE RECOVERY
Practice address
317 S 2ND St Ste 104
Mount Vernon, WA 98273-3814
Phone
(360) 707-4650
NPI assigned
May 14, 2019
Last updated
May 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Kelsy Ozuna
Title
Licsw
Phone
(360) 707-4650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

317 S 2ND St Ste 104
Mount Vernon, WA 98273-3814

Mailing address

1558 Porto Bello Ave
Sedro Woolley, WA 98284-7428

National Provider Directory

National Provider Directory

Locations

317 S 2nd St
Ste 104
Mount Vernon, WA 98273
Phone (360) 707-4650

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1235795493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 PORTO BELLO AVE",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982847428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S 2ND ST STE 104",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733814",
            "telephone_number": "360-707-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CASCADE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "OZUNA",
        "authorized_official_first_name": "KELSY",
        "authorized_official_title_or_position": "LICSW",
        "authorized_official_telephone_number": "360-707-4650"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.