Active NPI
Paul J Kallmann, MSW
- Social Worker
- Vancouver, WA
National Provider Identifier
1821211228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- RC00051486
- Practice address
- 9300 NE Oak View Dr
Vancouver, WA 98662-6347 - Phone
- (360) 213-2449
- Fax
- (360) 567-2212
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | RC00051486 | WA | Primary |
Addresses
Primary practice location
9300 NE Oak View Dr
Vancouver, WA 98662-6347
Mailing address
9211 NE 15TH Ave
Vancouver, WA 98665-9126
Phone (360) 213-3679
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 |
|---|---|---|---|
| RC00051486 | WA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821211228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9211 NE 15TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986659126",
"telephone_number": "360-213-3679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 NE OAK VIEW DR",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626347",
"telephone_number": "360-213-2449",
"fax_number": "360-567-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLMANN",
"first_name": "PAUL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "RC00051486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.