SPENCER PARK
NPI 1376824649
Social Worker - Clinical in Vancouver, WA

Active since August 31, 2011
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661(360) 696-4061 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Spencer Park NPPES

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

SPENCER PARK (NPI 1376824649) is an individual clinical provider in Vancouver, Washington, licensed in Washington (LW60761384) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1376824649
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSPENCER PARK
Location Address1601 E FOURTH PLAIN BLVDVancouver, WA 98661-3713
Mailing Address401 3rd StSan Francisco, CA 94107-1214
Sole ProprietorNo
Enumeration DateAugust 31, 2011
Last NPPES UpdateMarch 26, 2019
NPI 1376824649 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 · LW60761384 Licensed in CA · LCS28457
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.
1601 E FOURTH PLAIN BLVD, Vancouver, WA 98661

Other Providers at the Same Location NPPES 20

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

Counselor
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Counselor (Mental Health)
1601 E FOURTH PLAIN BLVD, BLDG 17, STE B222
VANCOUVER, WA 98661
Social Worker (Clinical)
1601 E FOURTH PLAIN BLVD, V3SATP
VANCOUVER, WA 98661
Counselor (Mental Health)
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Counselor (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Dentist (General Practice)
1601 E FOURTH PLAIN BLVD, V3 DENT
VANCOUVER, WA 98661
Counselor (Mental Health)
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Social Worker
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661

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 Spencer Park's NPI number?

The NPI number for Spencer Park is 1376824649. It was assigned to this individual provider in the NPPES registry on August 31, 2011.

Where is Spencer Park located?

Spencer Park practices at 1601 E Fourth Plain Blvd, Vancouver, WA 98661. The listed phone number is (360) 696-4061.

What is Spencer Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Spencer Park was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.