Active NPI
Amanda Markowski
- Social Worker
- Oak Harbor, WA
National Provider Identifier
1538694237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SC60731039
- Practice address
- 1091 SE Dock St
Oak Harbor, WA 98277-4065 - Phone
- (360) 682-5016
- Fax
- (360) 682-6572
- NPI assigned
- May 1, 2017
- Last updated
- May 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SC60731039 | WA | Primary |
| Social Worker | 104100000X | 44SL06173800 | NJ |
Addresses
Primary practice location
1091 SE Dock St
Oak Harbor, WA 98277-4065
Mailing address
1566 NW Almond Loop
Oak Harbor, WA 98277-3813
Phone (908) 723-2369
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BHY3HZN60851790 | Other | NJ | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06173800 | NJ | MD | Social Worker |
| SC60731039 | WA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Behavioral Medicine, PS | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Island Behavioral Medicine
- Marriage & Family Therapist
- Anacortes, WA
- NPI 1447638853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1538694237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1566 NW ALMOND LOOP",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982773813",
"telephone_number": "908-723-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1091 SE DOCK ST",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982774065",
"telephone_number": "360-682-5016",
"fax_number": "360-682-6572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKOWSKI",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-01",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SC60731039",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06173800",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "BHY3HZN60851790",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.