Active NPI
Wendy Arely Gudiel
- Clinical Social Worker
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61251581
- Practice address
- 201 NE Park Plaza Dr Ste 145
Vancouver, WA 98684-5873 - Phone
- (360) 729-8383
- Fax
- (360) 729-3534
- NPI assigned
- Mar 23, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW105488 | CA | |
| Clinical Social Worker | 1041C0700X | LW61251581 | WA | Primary |
Addresses
Primary practice location
201 NE Park Plaza Dr Ste 145
Vancouver, WA 98684-5873
Mailing address
5628 E Slauson Ave
Commerce, CA 90040-2922
Phone (323) 318-9960
Other practice location 1
5628 E Slauson Ave
Commerce, CA 90040-2922
Phone (323) 318-9960
Other practice location 2
100 E 33rd St Ste 100
Vancouver, WA 98663-2776
Phone (360) 729-8383
Other practice location 3
1910 Magnolia Ave
Los Angeles, CA 90007-1220
Phone (213) 342-0100
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220623002023 | WA | Practitioner - Clinical Social Worker | 8123407020 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW105488 | CA | MD | Clinical Social Worker |
| LW61251581 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Southwest Washington Medical Center | Past | Accepting new patients |
Locations
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854
201 NE Park Plaza Dr
Ste 145
Vancouver, WA 98684
Phone (360) 729-8383
1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100
100 E 33rd St
Ste 100
Vancouver, WA 98663
Phone (360) 514-7550
Organizations & group practices 7
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.
-
- Home Health Agency
- Vancouver, WA
- NPI 1285720896
-
- Rehabilitation Hospital Unit
- Vancouver, WA
- NPI 1548734205
-
- Inpatient Hospice
- Vancouver, WA
- NPI 1558015057
-
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
- NPI 1992182380
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1891785903
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- PeacehealthPeacehealth
Practice addresses (Care Compare)
100 E 33Rd St
Suite 100
Vancouver, WA 98663-2776
Phone (360) 256-2000
505 NE 87TH Ave
Vancouver, WA 98664-1965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766188800000",
"number": "1942576996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5628 E SLAUSON AVE",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900402922",
"telephone_number": "323-318-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 NE PARK PLAZA DR STE 145",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986845873",
"telephone_number": "360-729-8383",
"fax_number": "360-729-3534"
}
],
"practiceLocations": [
{
"address_1": "5628 E Slauson Ave",
"address_purpose": "LOCATION",
"city": "Commerce",
"state": "CA",
"postal_code": "900402922",
"country_code": "US",
"telephone_number": "323-318-9960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E 33rd St Ste 100",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986632776",
"country_code": "US",
"telephone_number": "360-729-8383",
"fax_number": "360-729-3534",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1910 Magnolia Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900071220",
"country_code": "US",
"telephone_number": "213-342-0100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUDIEL",
"first_name": "WENDY",
"middle_name": "ARELY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-23",
"last_updated": "2025-12-20",
"certification_date": "2025-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW105488",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61251581",
"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 Dec 20, 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.