NPIMap

Organization Active NPI

Restored and Revived

  • Social Worker
  • Vancouver, WA
National Provider Identifier
1619856424
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
RESTORED AND REVIVED
Practice address
9317 NE Highway 99 Ste J
Vancouver, WA 98665-8900
Phone
(603) 773-4623
NPI assigned
Aug 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Authorized official

Name
Ryanne Smith, SWIA.SC.61691902NPI 1184477747
Title
Interim Clinical Director
Phone
(916) 213-5624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

9317 NE Highway 99 Ste J
Vancouver, WA 98665-8900

Mailing address

9317 NE Highway 99 Ste J
Vancouver, WA 98665-8900
Phone (603) 773-4623

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinicaldirector@restoredandrevived.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

9317 NE Highway 99
Ste J
Vancouver, WA 98665
Phone (603) 773-4623

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1619856424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9317 NE HIGHWAY 99 STE J",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658900",
            "telephone_number": "603-773-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9317 NE HIGHWAY 99 STE J",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658900",
            "telephone_number": "603-773-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED AND REVIVED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RYANNE",
        "authorized_official_title_or_position": "INTERIM CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "916-213-5624",
        "authorized_official_credential": "SWIA.SC.61691902"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinicaldirector@restoredandrevived.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9317 NE Highway 99 Ste J",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986658900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.