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CARL JAMES DUMAN
NPI 1235540444
Social Worker - Clinical in Vancouver, WA

Active since May 12, 2014PECOS Enrolled
110 COLUMBIA ST, #106, VANCOUVER, WA 98660(503) 380-6963 Get Directions Write a Review

NPPES record last updated: May 12, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carl James Duman NPPES

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

CARL JAMES DUMAN (NPI 1235540444) is an individual clinical provider in Vancouver, Washington, licensed in Washington (LW00006525) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1235540444
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCARL JAMES DUMAN
Location Address110 COLUMBIA ST, #106Vancouver, WA 98660-3512
Mailing Address13262 Sw Commonwealth LnBeaverton, OR 97005-0834 · (503) 380-6963
Phone(503) 380-6963
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateMay 12, 2014
✔ NPI 1235540444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WA · LW00006525✔ Licensed in OR · 2022
Definition
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.
110 COLUMBIA ST, Vancouver, WA 98660
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carl James Duman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496210338
PECOS Enrollment IDI20260721002960
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carl Duman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind, P.A.
1,414 mi
Clinical
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Sondermind PA
  • 92 clinicians in this Medicare group
NPI 1710647581 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

THERESA (TERRY CAPPIELLO LMHC
Counselor (Mental Health)
110 COLUMBIA ST, SUITE 115
VANCOUVER, WA 98660
Clark County (360) 696-2857
LIVING TREE COUNSELING SERVICES
Psychologist
110 COLUMBIA ST, SUITE 109
VANCOUVER, WA 98660
Clark County (360) 750-6868

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 Carl Duman's NPI number?

The NPI number for Carl Duman is 1235540444. It was assigned to this individual provider in the NPPES registry on May 12, 2014.

Where is Carl Duman located?

Carl Duman practices at 110 Columbia St #106, Vancouver, WA 98660. The listed phone number is (503) 380-6963.

What is Carl Duman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Carl Duman enrolled in Medicare?

Yes. Carl Duman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carl Duman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Duman reassigns Medicare benefits to Sondermind, P.A. (Wichita, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Duman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Duman accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Carl Duman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carl Duman was last updated on May 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.