CENTER FOR JUSTICE SOCIAL WORK, INC.
NPI 1003499195
Clinic/Center - Mental Health (Including Community Mental Health Center) in Arlington, WA

NPI Status: Active since May 05, 2021

Contact Information

3710 168TH ST NE STE A207
ARLINGTON, WA
ZIP 98223
Phone: (360) 218-4645
Fax: (360) 218-4645

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • Accepts Insurance
  • CLIA Number: 50D2256980
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 04-04-2028

About CENTER FOR JUSTICE SOCIAL WORK, INC.

This page provides the complete NPI Profile along with additional information for Center For Justice Social Work, Inc., a provider established in Arlington, Washington operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1003499195 assigned on May 2021. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Dr. Kaitlyn Goubeau Licsw, Dsw (Ceo)

NPI
1003499195
Provider Legal Name
CENTER FOR JUSTICE SOCIAL WORK, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
3710 168TH ST NE STE A207 ARLINGTON, WA 98223
Location Phone
(360) 218-4645
Location Fax
(360) 218-4645
Mailing Address
524 N OLYMPIC AVE UNIT 453 ARLINGTON, WA 98223
Mailing Phone
(425) 346-0251
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2021
Last Update Date
03-17-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KAITLYN GOUBEAU LICSW, DSW

Authorized Official Title
CEO
Authorized Official Phone
(360) 367-4284

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2256980
Facility Type
Assisted Living Facility
Certificate Effective Date
March 30, 2022
Certificate Expiration Date
April 04, 2028
Laboratory Director
NATHAN HAMNER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Center For Justice Social Work, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003499195, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 8 + 9 + 1 + 8 + 1 + 1 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1003499195.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Social Worker (Clinical)
3710 168TH ST NE STE A207
ARLINGTON, WA 98223
Social Worker (Clinical)
3710 168TH ST NE STE A207
ARLINGTON, WA 98223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003499195, enumerated as an "organization" on May 05, 2021.

The provider is located at 3710 168TH ST NE STE A207 ARLINGTON, WA 98223 and the phone number is (360) 218-4645.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.