Northwest Youth Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NORTHWEST YOUTH SERVICES

Practice address

108 Prospect St
Bellingham, WA 98225-4402

Phone

(360) 734-9862

NPI assigned

Dec 23, 2020

Organization subpart

No

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

Authorized official

Name

Ryan Douglas, LCSWNPI 1316580038

Title

Owner

Phone

(360) 734-9862

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.

• Ryan R Douglas, LICSW

  • Clinical Social Worker
  • Bellingham, WA
  • NPI 1316580038
  NPD Authorized official

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1881281897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PROSPECT ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254402",
            "telephone_number": "360-734-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PROSPECT ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254402",
            "telephone_number": "360-734-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-734-9862",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Surgical Asociates
• Northwest Telepsychiatry, PLLC
• Northwest Vascular Lab PLLC
• Northwest Vein Center, PLLC
• Northwest Walk-in Health Center
• Emily Kristine Norton, DPT
• Tracy Lynn Norvell, PT
• Matthew Brian Novitch, MD
• Alexander Hartwell Nowlin, M.D.
• Diane Nuetzmann

• Clinical Social Worker in Bellingham, WA
• Providers in Bellingham, 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 Dec 23, 2020; 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.