Individual provider Active NPI

Rhonda Leeann Breckenridge, LICSW

  • Clinical Social Worker
  • East Wenatchee, WA
National Provider Identifier
1609153592
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60243517 Issued in WA
Practice address
980 Eastmont Ave
East Wenatchee, WA 98802-6602
Phone
(509) 662-6000
NPI assigned
Nov 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60243517 WA Primary

Addresses

Primary practice location

980 Eastmont Ave
East Wenatchee, WA 98802-6602

Mailing address

600 Orondo Ave
Wenatchee, WA 98801-2800
Phone (509) 662-6000

Other practice location 1

600 Orondo Ave
Wenatchee, WA 98801-2800
Phone (509) 662-6000

Other practice location 2

504 Orondo Ave
Wenatchee, WA 98801-2830
Phone (509) 662-6000

Other identifiers 1

IdentifierTypeStateIssuer
1090983MedicaidWA

Other names 1

  • Rhonda Leeann Barsten Former name

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
I20120131000661 WA Practitioner - Clinical Social Worker 7517124779 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60243517WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindcare Solutions of Texas PA CurrentSince Aug 4, 2021 Accepting new patients
Wenatchee Valley Hospital CurrentSince Jan 1, 2022 Accepting new patients
Columbia Valley Community Health Current Accepting new patients
Columbia Valley Community Health CurrentSince Sep 10, 2024 Accepting new patients

Locations

980 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 664-0949

1007 Koala Dr
Omak, WA 98841
Phone (509) 826-8409

916 Koala Dr
Omak, WA 98841
Phone (509) 826-1800

17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174

1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208

504 Orondo Ave
Wenatchee, WA 98801
Phone 5096621269 ext. 1333

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

600 Orondo Ave
Wenatchee, WA 98801
Phone (509) 662-3860

504 Orondo Ave
#A
Wenatchee, WA 98801
Phone (509) 662-1269

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

600 Orondo Ave
Ste 1
Wenatchee, WA 98801
Phone (509) 664-4575

Organizations & group practices 4

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": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1609153592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "509-662-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 EASTMONT AVE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988026602",
            "telephone_number": "509-662-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Orondo Ave",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988012800",
            "country_code": "US",
            "telephone_number": "509-662-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 Orondo Ave",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988012830",
            "country_code": "US",
            "telephone_number": "509-662-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRECKENRIDGE",
        "first_name": "RHONDA",
        "middle_name": "LEEANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-07",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60243517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1090983",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "BARSTEN",
            "middle_name": "LEEANN",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.