Active NPI
Karin Guertin, MSW
- School Social Worker
- Stevenson, WA
National Provider Identifier
1649517350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- SC60504296
- Practice address
- 710 SW Rock Creek Dr.
Stevenson, WA 98348-4418 - Phone
- (509) 427-3850
- Fax
- (509) 427-0188
- NPI assigned
- Jan 15, 2013
- Last updated
- Dec 8, 2014
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | SC60504296 | WA | Primary |
| Physical Therapy Assistant | 225200000X | 8020 | OR |
Addresses
Primary practice location
710 SW Rock Creek Dr.
Stevenson, WA 98348-4418
Mailing address
PO Box 369
Stevenson, WA 98648
Phone (509) 427-3850
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC60504296 | WA | MD | School Social Worker |
| 8020 | OR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Skamania | 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 Skamania County Community Health
- Community/Behavioral Health Agency
- Stevenson, WA
- NPI 1821175456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1649517350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 369",
"city": "STEVENSON",
"state": "WA",
"postal_code": "98648",
"telephone_number": "509-427-3850",
"fax_number": "509-427-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 SW ROCK CREEK DR.",
"city": "STEVENSON",
"state": "WA",
"postal_code": "983484418",
"telephone_number": "509-427-3850",
"fax_number": "509-427-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERTIN",
"first_name": "KARIN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-15",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "WA",
"license": "SC60504296",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "8020",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stevenson, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.