Individual provider Active NPI

Rebecca Springer, LICSW

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1851720619
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60649105 Issued in WA
Practice address
2525 NE 139TH St Ste 150
Vancouver, WA 98686
Phone
(360) 882-2778
Fax
(360) 604-1764
NPI assigned
Nov 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC60343990 WA
Clinical Social Worker 1041C0700X LW60649105 WA Primary

Addresses

Primary practice location

2525 NE 139TH St Ste 150
Vancouver, WA 98686

Mailing address

1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1412

Other practice location 1

4545 Cordata Pkwy Ste Ll4
Bellingham, WA 98226
Phone (360) 752-5622

Other practice location 2

4545 Cordata Pkwy Ste 2C
Bellingham, WA 98226
Phone (360) 752-5165

Other practice location 3

4545 Cordata Pkwy Ste 1E
Bellingham, WA 98226
Phone (360) 752-5246

Other practice location 4

1117 Spring St
Friday Harbor, WA 98250
Phone (360) 378-2141

Other practice location 5

6 1st St Ste 13
Wenatchee, WA 98801-2247
Phone (509) 470-5948

Other practice location 6

1990 Hospital Dr Ste 110
Sedro Woolley, WA 98284
Phone (360) 856-8830

Other practice location 7

4545 Cordata Pkwy Ste 2A
Bellingham, WA 98226
Phone (360) 752-5220

Other practice location 8

4545 Cordata Pkwy Ste 2D
Bellingham, WA 98226
Phone (360) 752-5165

Other practice location 9

3015 Squalicum Pkwy Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

Other identifiers 1

IdentifierTypeStateIssuer
2111729MedicaidWA

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
I20190306000639 WA Practitioner - Clinical Social Worker 1951640135 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Phone (360) 735-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60649105WAMDClinical Social Worker
SC60343990WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group - Sedro Woolley CurrentSince Mar 1, 2021 Accepting new patients
Peacehealth CurrentSince Mar 1, 2021 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Oct 16, 2018 Accepting new patients
Peacehealth CurrentSince Mar 1, 2021 Accepting new patients
Peacehealth Current Accepting new patients
Peacehealth CurrentSince Jul 1, 2024 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Oct 16, 2018 Accepting new patients
Peacehealth CurrentSince Mar 1, 2021 Accepting new patients
Peacehealth CurrentSince Mar 1, 2021 Accepting new patients

Locations

4545 Cordata Pkwy
Ste 2D
Bellingham, WA 98226
Phone (360) 752-5165

4545 Cordata Pkwy
Ste 2C
Bellingham, WA 98226
Phone (360) 752-5165

4545 Cordata Pkwy
Ste 1E
Bellingham, WA 98226
Phone (360) 752-5246

4545 Cordata Pkwy
Ste 2A
Bellingham, WA 98226
Phone (360) 752-5220

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

4545 Cordata Pkwy
Ste LL4
Bellingham, WA 98226
Phone (360) 729-1253

835 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0641

1117 Spring St
Friday Harbor, WA 98250
Phone (360) 378-1738

1990 Hospital Dr
Ste 110
Sedro Woolley, WA 98284
Phone (360) 856-8830

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

16811 SE McGillivray Blvd
Vancouver, WA 98683
Phone (360) 514-4900

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

2525 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1500

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

2525 NE 139th St
Ste 150
Vancouver, WA 98686

Organizations & group practices 9

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": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1851720619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "360-729-1412",
            "fax_number": "360-729-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NE 139TH ST STE 150",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98686",
            "telephone_number": "360-882-2778",
            "fax_number": "360-604-1764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 Cordata Pkwy Ste Ll4",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "98226",
            "country_code": "US",
            "telephone_number": "360-752-5622",
            "fax_number": "360-752-5624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 Cordata Pkwy Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "98226",
            "country_code": "US",
            "telephone_number": "360-752-5165",
            "fax_number": "360-752-5686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 Cordata Pkwy Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "98226",
            "country_code": "US",
            "telephone_number": "360-752-5246",
            "fax_number": "360-752-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1117 Spring St",
            "address_purpose": "LOCATION",
            "city": "Friday Harbor",
            "state": "WA",
            "postal_code": "98250",
            "country_code": "US",
            "telephone_number": "360-378-2141",
            "fax_number": "360-378-1785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 1st St Ste 13",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988012247",
            "country_code": "US",
            "telephone_number": "509-470-5948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Hospital Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Sedro Woolley",
            "state": "WA",
            "postal_code": "98284",
            "country_code": "US",
            "telephone_number": "360-856-8830",
            "fax_number": "360-714-2523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 Cordata Pkwy Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "98226",
            "country_code": "US",
            "telephone_number": "360-752-5220",
            "fax_number": "360-752-5682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 Cordata Pkwy Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "98226",
            "country_code": "US",
            "telephone_number": "360-752-5165",
            "fax_number": "360-752-5615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3015 Squalicum Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "98225",
            "country_code": "US",
            "telephone_number": "360-715-4186",
            "fax_number": "360-715-4187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60343990",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60649105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111729",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.