Childrens Mental Health and Parenting Support PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHILDRENS MENTAL HEALTH AND PARENTING SUPPORT PLLC

Practice address

6715 NE 63Rd St Ste 103-268
Vancouver, WA 98661-1980

Phone

(360) 784-0559

NPI assigned

Feb 10, 2023

Last updated

Feb 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Glose, LCSWNPI 1326585100

Title

Sole Member

Phone

(360) 784-0559

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Glose, LCSW

  • Clinical Social Worker
  • Longview, WA
  • NPI 1326585100
  NPD Authorized official

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1720785660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 NE 63RD ST STE 103-268",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986611980",
            "telephone_number": "360-784-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 NE 63RD ST STE 103-268",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986611980",
            "telephone_number": "360-784-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS MENTAL HEALTH AND PARENTING SUPPORT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "GLOSE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "360-784-0559",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Chidester
• Ogbonna Eugene Chikere
• Tricia Madelaine Child, M.D.
• Children's Center
• Children's Home Society of Washington (Akin)
• Kim Childress
• Colin Chilgren, RBT
• Natacha Chimenti
• Hannah Purkey Chin, CNM
• Lisa F Chin, FNP

• 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 Feb 10, 2023; 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.