Individual provider Active NPI

Tien Vo

  • Clinical Social Worker
  • Port Angeles, WA
National Provider Identifier
1689143471
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60967687 Issued in WA
Practice address
814 S Peabody St
Port Angeles, WA 98362-7906
Phone
(360) 229-5151
NPI assigned
Nov 21, 2018
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SC60621334 WA
Clinical Social Worker 1041C0700X LW60967687 WA Primary

Addresses

Primary practice location

814 S Peabody St
Port Angeles, WA 98362-7906

Mailing address

814 S Peabody St
Port Angeles, WA 98362-7906
Phone (360) 229-5151

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
I20191230001972 WA Practitioner - Clinical Social Worker 9032543962 Practice locations: Port Angeles, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

131 E 1St St
Port Angeles, WA 98362-2902
Phone (360) 229-5151

814 S Peabody St
Port Angeles, WA 98362-7906
Phone (360) 229-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC60621334WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L Scott MD Inc PS CurrentSince Apr 20, 2025 Accepting new patients
Peninsula Behavioral Health PastSince Jun 27, 2008 Accepting new patients

Locations

814 S Peabody St
Port Angeles, WA 98362
Phone (360) 457-4761

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/peninsulabehavioral/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1689143471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S PEABODY ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627906",
            "telephone_number": "360-229-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S PEABODY ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627906",
            "telephone_number": "360-229-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "TIEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SC60621334",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60967687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.