EVERGREEN COUNSELING SERVICES, PS
NPI 1174754071
Social Worker - Clinical in Vancouver, WA

NPI Status: Active since July 27, 2009

Contact Information

1104 MAIN ST
SUITE #440
VANCOUVER, WA
ZIP 98660
Phone: (360) 694-3040
Fax: (360) 735-7484

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  • Organization
  • Social Worker
  • Clinical

About EVERGREEN COUNSELING SERVICES, PS

This page provides the complete NPI Profile along with additional information for Evergreen Counseling Services, Ps, a provider established in Vancouver, Washington operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1174754071 assigned on July 2009. The practitioner's primary taxonomy code is 1041C0700X with license number LW00005079 (WA). The provider is registered as an organization and their NPI record was last updated 17 years ago. Evergreen Counseling Services, Ps operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Evergreen Counseling Services, Ps. The authorized official of this NPI record is Mr. Dale Edward Wotring Licsw (President)

NPI
1174754071
Provider Legal Name
EVERGREEN COUNSELING SERVICES, PC
Other Organization Name
EVERGREEN COUNSELING SERVICES, PS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1104 MAIN ST SUITE #440 VANCOUVER, WA 98660
Location Phone
(360) 694-3040
Location Fax
(360) 735-7484
Mailing Address
1104 MAIN ST SUITE #440 VANCOUVER, WA 98660
Mailing Phone
(360) 694-3040
Mailing Fax
(360) 735-7484
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2009
Last Update Date
07-27-2009
Code Navigator

A clinical social worker like Evergreen Counseling Services, Ps is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

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

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
LW00005079
License State
WA
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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

L0895 (OR)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MR. DALE EDWARD WOTRING LICSW

Authorized Official Title
PRESIDENT
Authorized Official Phone
(360) 694-3040

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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 1174754071, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
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 7 → 14 → 5 7 → 14 → 5 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 4 + 4 + 1 + 4 + 5 + 8 + 0 + 1 + 4 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1174754071.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Social Worker (Clinical)
1104 MAIN ST, SUITE 500
VANCOUVER, WA 98660
Counselor (Mental Health)
1104 MAIN ST, SUITE 500
VANCOUVER, WA 98660
Psychologist (Clinical)
1104 MAIN ST, SUTIE 500
VANCOUVER, WA 98660
Counselor (Mental Health)
1104 MAIN ST, SUITE M110
VANCOUVER, WA 98660
Social Worker (Clinical)
1104 MAIN ST, SUITE #440
VANCOUVER, WA 98660
Acupuncturist
1104 MAIN ST, SUITE 220
VANCOUVER, WA 98660
Social Worker (Clinical)
1104 MAIN ST, SUITE 440
VANCOUVER, WA 98660
Psychologist (Clinical)
1104 MAIN ST, SUITE 500
VANCOUVER, WA 98660
Massage Therapist
1104 MAIN ST, SUITE M105
VANCOUVER, WA 98660
Massage Therapist
1104 MAIN ST, SUITE #105
VANCOUVER, WA 98660
Counselor (Professional)
1104 MAIN ST, SUITE 300
VANCOUVER, WA 98660
Massage Therapist
1104 MAIN ST, 550F
VANCOUVER, WA 98660
Nutritionist (Nutrition, Education)
1104 MAIN ST, SUITE 550D
VANCOUVER, WA 98660
Massage Therapist
1104 MAIN ST
VANCOUVER, WA 98660
Clinic/Center
1104 MAIN ST, SUITE 500
VANCOUVER, WA 98660
Counselor (Mental Health)
1104 MAIN ST, SUITE 440
VANCOUVER, WA 98660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174754071, enumerated as an "organization" on July 27, 2009.

The provider is located at 1104 MAIN ST SUITE #440 VANCOUVER, WA 98660 and the phone number is (360) 694-3040.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.