Individual provider Active NPI

Alissa Jeanne Wehrman, BIRTH DOULA

  • Clinical Social Worker
  • Kent, WA
National Provider Identifier
1801155148
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
325 W Gowe St
Kent, WA 98032-5892
Phone
(253) 833-7444
NPI assigned
May 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 602190515 WA
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

325 W Gowe St
Kent, WA 98032-5892

Mailing address

325 W Gowe St
Kent, WA 98032-5892
Phone (253) 833-7444

Other practice location 1

5442 26th Ave SW
Seattle, WA 98106-1434
Phone (206) 965-0566

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
I20240604004389 WA Practitioner - Clinical Social Worker 2264974385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Cities Counseling and ConsultationGroup PAC ID 6406842053, 53 clinicians

Practice addresses (Care Compare)

8444 Rainier Ave S
Seattle, WA 98118-4655
Phone (253) 833-7444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
602190515WAMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Cities Counseling and Consultation CurrentSince Apr 29, 2024 Accepting new patients

Locations

2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415

325 W Gowe St
Kent, WA 98032

8444 Rainier Ave S
Seattle, WA 98118
Phone (206) 516-8068

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1801155148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W GOWE ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325892",
            "telephone_number": "253-833-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W GOWE ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325892",
            "telephone_number": "253-833-7444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5442 26th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981061434",
            "country_code": "US",
            "telephone_number": "206-965-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEHRMAN",
        "first_name": "ALISSA",
        "middle_name": "JEANNE",
        "credential": "BIRTH DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "WA",
            "license": "602190515",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.