Individual provider Active NPI

Lauren Kennedy Moran

  • Social Worker
  • Vancouver, WA
National Provider Identifier
1538681697
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
KENNELA045KL Issued in WA
Practice address
13505 NE 10TH Ave
Vancouver, WA 98685-2711
Phone
(360) 433-9664
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X KENNELA045KL WA
Social Worker 104100000X KENNELA045KL WA Primary

Addresses

Primary practice location

13505 NE 10TH Ave
Vancouver, WA 98685-2711

Mailing address

13505 NE 10TH Ave
Vancouver, WA 98685-2711

Other practice location 1

1601 E 4th Plain Blvd
Vancouver, WA 98661
Phone (360) 397-8246

Other practice location 2

1601 E 4th Plain Blvd
Vancouver, WA 98661
Phone (360) 397-8246

Other practice location 3

655 W Columbia Way Ste 400
Vancouver, WA 98660-3613
Phone (360) 433-9664

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
I20250623002550 WA Practitioner - Clinical Social Worker 7012429376 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KENNELA045KLWAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Refresh Therapy, Inc Marriage & Family Therapist CurrentSince Mar 15, 2025 Accepting new patients
Refresh Therapy, Inc PastSince Mar 15, 2025 Accepting new patients
Catholic Community Services of Western Washington Past Accepting new patients

Locations

13505 NE 10th Ave
Vancouver, WA 98685
Phone (360) 433-9664

655 W Columbia Way
Ste 400
Vancouver, WA 98660
Phone (360) 433-9664

Organizations & group practices 3

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1538681697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13505 NE 10TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13505 NE 10TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852711",
            "telephone_number": "360-433-9664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 E 4th Plain Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "98661",
            "country_code": "US",
            "telephone_number": "360-397-8246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 E 4th Plain Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "98661",
            "country_code": "US",
            "telephone_number": "360-397-8246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 W Columbia Way Ste 400",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603613",
            "country_code": "US",
            "telephone_number": "360-433-9664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "LAUREN",
        "middle_name": "KENNEDY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "KENNELA045KL",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "KENNELA045KL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.