Active NPI
Jennifer F Harder, LICSW
- Clinical Social Worker
- Longview, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60715939
- Practice address
- 945 11TH Ave
Longview, WA 98632-2555 - Phone
- (360) 414-8600
- Fax
- (360) 636-7372
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW60715939 | WA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60063103 | WA | |
| Social Worker | 104100000X | LW60715939 | WA |
Addresses
Primary practice location
945 11TH Ave
Longview, WA 98632-2555
Mailing address
945 11TH Ave
Longview, WA 98632-2555
Phone (360) 414-8600
Other names 1
- Jennifer F Costanti
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
945 11TH Ave
Suite B
Longview, WA 98632-2555
Phone (360) 414-8600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP60063103 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Northwest Psychological Resources LLC | Clinical | Current | Accepting new patients |
| The Vancouver Clinic Inc PS | Current | Accepting new patients |
Locations
945 11th Ave
Ste B
Longview, WA 98632
Phone (360) 414-8600
945 11th Ave
Longview, WA 98632
Phone (360) 414-8600
501 SE 172nd Ave
Vancouver, WA 98684
501 SE 172nd Ave
Ste 140
Vancouver, WA 98684
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
Organizations & group practices 3
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.
-
- Clinical Neuropsychologist
- Longview, WA
- NPI 1811079049
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1902962749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 11TH AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322555",
"telephone_number": "360-414-8600",
"fax_number": "360-636-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 11TH AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322555",
"telephone_number": "360-414-8600",
"fax_number": "360-636-7372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDER",
"first_name": "JENNIFER",
"middle_name": "F",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60715939",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60063103",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW60715939",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "COSTANTI",
"middle_name": "F",
"credential": "BS,CDP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.