Active NPI
Olivia Resnick, LICSW
- Clinical Social Worker
- Vancouver, WA
National Provider Identifier
1972093920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60827478
- Practice address
- 101 E 8TH St Ste 110
Vancouver, WA 98660-3294 - Phone
- (360) 701-3445
- NPI assigned
- May 15, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW60827478 | WA | Primary |
Addresses
Primary practice location
101 E 8TH St Ste 110
Vancouver, WA 98660-3294
Mailing address
17706 SE 20TH Way
Vancouver, WA 98683-1822
Phone (360) 701-3445
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
| License | State | Type | Specialty |
|---|---|---|---|
| LW60827478 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Couve Health and Wellness, LLC | Clinical | Current | Accepting new patients |
Locations
16701 SE McGillivray Blvd
Ste 125
Vancouver, WA 98683
Phone (360) 433-9664
Organizations & group practices 1
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 Social Worker
- Vancouver, WA
- NPI 1750273306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1972093920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17706 SE 20TH WAY",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831822",
"telephone_number": "360-701-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E 8TH ST STE 110",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603294",
"telephone_number": "360-701-3445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESNICK",
"first_name": "OLIVIA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60827478",
"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 May 15, 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.