Organization Active NPI

Durocher Counseling Services PSC

  • Clinical Social Worker
  • Lynnwood, WA
National Provider Identifier
1992827778
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00007329 Issued in WA
Legal business name
DUROCHER COUNSELING SERVICES PSC
Practice address
20016 Cedar Valley Rd
Suite 104
Lynnwood, WA 98036-6332
Phone
(425) 418-6113
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rebecca J Durocher, MSW, LICSW
Title
President-Owner
Phone
(425) 418-6113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LW00007329 WA Primary

Addresses

Primary practice location

20016 Cedar Valley Rd
Suite 104
Lynnwood, WA 98036-6332

Mailing address

PO Box 902
Clinton, WA 98236-0902

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992827778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902",
            "city": "CLINTON",
            "state": "WA",
            "postal_code": "982360902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20016 CEDAR VALLEY RD",
            "address_2": "SUITE 104",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366332",
            "telephone_number": "425-418-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUROCHER COUNSELING SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUROCHER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "425-418-6113",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00007329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.