Vickie L Hermann, LICSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW 60265048 Issued in WA

Practice address

108 SE 124TH Ave
Suite 10
Vancouver, WA 98684

Phone

(360) 606-9678

Fax

(360) 885-4944

NPI assigned

Aug 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1699023028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SE 124TH AVE",
            "address_2": "SUITE 10",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98684",
            "telephone_number": "360-606-9678",
            "fax_number": "360-885-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SE 124TH AVE",
            "address_2": "SUITE 10",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98684",
            "telephone_number": "360-606-9678",
            "fax_number": "360-885-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANN",
        "first_name": "VICKIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LICSW, LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60265048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage Moving Solutions
• Heritage NW Consulting LLC
• Dennis David Herling II, LMHCA
• Herma Ranola DMD PLLC
• Kelsey Elizabeth Herman
• Gerald Hermes
• Jennifer D Hermes, PA-C
• Ma. Teresa Hernandez-Martinez, DOULA
• Adrian V Hernandez, CO60692009
• Ashley Hernandez

• Clinical Social Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.