Active NPI
Charlynn Mercedes Raymond-Ortiz
- Clinical Social Worker
- Newcastle, WA
National Provider Identifier
1730426602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3754
- Practice address
- 7426 Newcastle Golf Club Rd # 4C
Newcastle, WA 98059-9146 - Phone
- (425) 941-8262
- NPI assigned
- Jan 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3754 | HI | Primary |
Addresses
Primary practice location
7426 Newcastle Golf Club Rd # 4C
Newcastle, WA 98059-9146
Mailing address
7426 Newcastle Golf Club Road
4C
Newcastle, WA 98059
Phone (425) 941-8262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VAD000 | Other | HI | UPIN |
Other names 1
- Miss Charlynn Mercedes Raymond
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3754 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1730426602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7426 NEWCASTLE GOLF CLUB ROAD",
"address_2": "4C",
"city": "NEWCASTLE",
"state": "WA",
"postal_code": "98059",
"telephone_number": "425-941-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7426 NEWCASTLE GOLF CLUB RD # 4C",
"city": "NEWCASTLE",
"state": "WA",
"postal_code": "980599146",
"telephone_number": "425-941-8262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND-ORTIZ",
"first_name": "CHARLYNN",
"middle_name": "MERCEDES",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-11",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "3754",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "VAD000",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLYNN",
"last_name": "RAYMOND",
"middle_name": "MERCEDES",
"prefix": "MISS",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Newcastle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.