Individual provider Active NPI

Nicole Clerc Curley

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1336863679
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60155015 Issued in WA
Practice address
8716 E Mill Plain Blvd
Vancouver, WA 98664-2531
Phone
(360) 696-5300
Fax
(360) 729-3372
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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
Clinical Social Worker 1041C0700X 10891 OR
Clinical Social Worker 1041C0700X 60155015 WA Primary

Addresses

Primary practice location

8716 E Mill Plain Blvd
Vancouver, WA 98664-2531

Mailing address

651 NW 18TH Ave
Camas, WA 98607-9360
Phone (503) 522-9319

Other practice location 1

651 NW 18th Ave
Camas, WA 98607-9360
Phone (503) 522-9319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60155015WAMDClinical Social Worker
10891ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Dec 6, 2023 Accepting new patients

Locations

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

8716 E Mill Plain Blvd
Vancouver, WA 98664
Phone (360) 514-4325

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": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1336863679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 NW 18TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986079360",
            "telephone_number": "503-522-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8716 E MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642531",
            "telephone_number": "360-696-5300",
            "fax_number": "360-729-3372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 NW 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Camas",
            "state": "WA",
            "postal_code": "986079360",
            "country_code": "US",
            "telephone_number": "503-522-9319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURLEY",
        "first_name": "NICOLE",
        "middle_name": "CLERC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "10891",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60155015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.