Stephanie Dianne Baxter

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SWI.LW.60990251 Issued in WA

Practice address

831 12TH Ave
Longview, WA 98632-2403

Phone

(360) 998-2349

Fax

(360) 998-2887

NPI assigned

Apr 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Longview, WA
  • NPI 1891724506
  Medicare reassignment NPD
• Cowlitz Family Health Center

  dba Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Cathlamet, WA
  • NPI 1538497417
  NPD
• Cowlitz Family Health Center

  dba Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Longview, WA
  • NPI 1609524164
  NPD
• Real Life Counseling PLLC

  • Clinical Social Worker
  • Vancouver, WA
  • NPI 1053782078
  NPD (past)

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1952965279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 12TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322509",
            "telephone_number": "360-636-3892",
            "fax_number": "360-232-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 12TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322403",
            "telephone_number": "360-998-2349",
            "fax_number": "360-998-2887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1057 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "98632",
            "country_code": "US",
            "telephone_number": "360-636-3892",
            "fax_number": "360-232-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1498 SE Tech Center Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986835509",
            "country_code": "US",
            "telephone_number": "360-619-2226",
            "fax_number": "360-326-9691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "STEPHANIE",
        "middle_name": "DIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L18079",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SWI.LW.60990251",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.60990251",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SWI.LW.60990251",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2146977",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen L Bauer, LMP
• Jared Michael Baughman, MA, CAAR
• Rebecca Sue Baumgardner, M.ED., OTR/L
• Mikylah Bausch, MSW, LICSWA
• Laurie Baxter, BS, R-AAC
• Angelica Catherine Beach, RN
• Elly J Beach, LMP
• Beacon Hill Healthcare, Inc. (Beacon Hill Rehabilitation)
• Chyane Leiann Beasley, RACC, CPC
• Jane Beaston, LMT

• Social Worker in Longview, WA
• Providers in Longview, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.