River Rock Church

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60216256 Issued in WA

Legal business name

RIVER ROCK CHURCH

Practice address

1498 SE Tech Center PL
Suite 385
Vancouver, WA 98683-9591

Phone

(360) 619-2226

Fax

(360) 326-9691

NPI assigned

Apr 30, 2013

Organization subpart

No

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

Authorized official

Name

Joseph Melvin Klemz, LICSWNPI 1013130558

Title

Counseling Director

Phone

(360) 619-2226

Specialties & licenses 1

Addresses

Other names 1

• Real Life Counseling Ministries Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Melvin Klemz, LICSW

  • Clinical Social Worker
  • Vancouver, WA
  • NPI 1013130558
  NPD (past) Authorized official

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1508201906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL",
            "address_2": "SUITE 385",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839591",
            "telephone_number": "360-619-2226",
            "fax_number": "360-326-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL",
            "address_2": "SUITE 385",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839591",
            "telephone_number": "360-619-2226",
            "fax_number": "360-326-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER ROCK CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "KLEMZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "COUNSELING DIRECTOR",
        "authorized_official_telephone_number": "360-619-2226",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60216256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Real Life Counseling Ministries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alfonso Rivas, AAC
• Cindy Roxana Rivas
• Elizabeth Rivas
• Emily Elizabeth Rivas, DPT
• Brandy Linn Rivenburgh, RN
• Ashlee Rivera Garcia
• Alexandra Rivera-Rodriguez, LMP
• Brian Rivera, PHARM.D.
• Daniel Salvador Rivera
• Daniela Rivera

• 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 Apr 30, 2013; 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.