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KAILEY A WOOD PSS
NPI 1053821736
Peer Specialist in Vancouver, WA

Active since October 06, 2017
11719 NE 95TH ST STE A, VANCOUVER, WA 98682(503) 490-2292 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kailey A Wood Pss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAILEY A WOOD PSS (NPI 1053821736) is an individual peer specialist in Vancouver, Washington, licensed in Washington (CG61009839) and active in the NPI registry since October 2017. She maintains a secondary practice location in Eugene.

NPPES Registry Identity

NPI1053821736
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKAILEY A WOODCredential: PSS
Location Address11719 NE 95TH ST STE AVancouver, WA 98682-2444
Mailing Address11719 Ne 95th St Ste AVancouver, WA 98682-2444 · (503) 490-2292
Phone(503) 490-2292
Sole ProprietorNo
Enumeration DateOctober 6, 2017
Last NPPES UpdateNovember 18, 2019
✔ NPI 1053821736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Licenses✔ Licensed in WA · CG61009839✔ Licensed in OR · THW2019
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCommunity Health WorkerTaxonomy 172V00000X · License PHW2019 (OR)
11719 NE 95TH ST STE A, Vancouver, WA 98682
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Secondary Practice Location 1

Location 12411 Mlk Jr BlvdEugene, OR 97401-5824 · Phone (541) 682-3608 ext. 7565

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH GRANT LSWAIC
Social Worker (Clinical)
11719 NE 95TH ST STE A
VANCOUVER, WA 98682
Clark County (360) 984-5511
TIA DUNHAM SUDPT
Counselor (Addiction (Substance Use Disorder))
11719 NE 95TH ST STE A
VANCOUVER, WA 98682
Clark County (360) 954-8482
STEVEN JOSEPH FISCHER M.S.W. L.I.S.W.
Social Worker (Clinical)
11719 NE 95TH ST STE A
VANCOUVER, WA 98682
Clark County (360) 984-5511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kailey Wood's NPI number?

The NPI number for Kailey Wood is 1053821736. It was assigned to this individual provider in the NPPES registry on October 6, 2017.

Where is Kailey Wood located?

Kailey Wood practices at 11719 NE 95th St Ste A, Vancouver, WA 98682. The listed phone number is (503) 490-2292.

What is Kailey Wood's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kailey Wood was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.