Daryn Nelsen-Soza, LSWIAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC 60547931 Issued in WA

Practice address

16812 SE 1St St Unit 32
Vancouver, WA 98684-8503

Phone

(360) 798-8604

NPI assigned

May 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: daryn.nelsen-soza@489656322949124.direct.elationemr.com

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1245687466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16812 SE 1ST ST UNIT 32",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848503",
            "telephone_number": "360-798-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16812 SE 1ST ST UNIT 32",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848503",
            "telephone_number": "360-798-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSEN-SOZA",
        "first_name": "DARYN",
        "credential": "LSWIAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A4239",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC 60547931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tad O Neilson, DDS
• Emma Michelle Neiworth Petshow, ND
• Paisly Pilch-Marie Nejal
• Silpa Nekkalapudi
• Madhan Nellaiyappan, M.D.
• Daniel Reid Nelsen, PHARM.D
• Akina Nelson
• Angela Nelson, LMP
• Dale Donaldson Nelson, D.M.D.
• Dwight L Nelson, BC-HIS

• Clinical Social Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.