Individual provider Active NPI

Cameron Michael Preas, MSW, LICSW

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1891278222
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60230177 Issued in WA
Practice address
11818 SE Mill Plain Blvd Ste 311B
Vancouver, WA 98684-5091
Phone
(360) 772-0618
NPI assigned
Sep 11, 2018
Last updated
Sep 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60230177 WA Primary

Addresses

Primary practice location

11818 SE Mill Plain Blvd Ste 311B
Vancouver, WA 98684-5091

Mailing address

11818 SE Mill Plain Blvd Ste 311B
Vancouver, WA 98684-5091
Phone (360) 772-0618

Other identifiers 1

IdentifierTypeStateIssuer
PREASCM272BDOtherWADRIVERS LICENSE

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

LicenseStateTypeSpecialty
LW60230177WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1891278222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11818 SE MILL PLAIN BLVD STE 311B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845091",
            "telephone_number": "360-772-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 SE MILL PLAIN BLVD STE 311B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845091",
            "telephone_number": "360-772-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREAS",
        "first_name": "CAMERON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60230177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "PREASCM272BD",
            "state": "WA"
        }
    ],
    "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 Sep 11, 2018; 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.