CORLISS WENTWORTH COUNSELOR
NPI 1669691176
Counselor - Addiction (Substance Use Disorder) in Vancouver, WA

Q: What is Corliss Wentworth's NPI number?

The NPI number for Corliss Wentworth is 1669691176. It was assigned to this individual provider in the NPPES registry on April 24, 2007. The provider is also known as Mrs. Corliss Wentworth-Thompson Cp00005457.

Q: What is Corliss Wentworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Corliss Wentworth was last updated on March 25, 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.

Active since April 24, 2007

1601 E FOURTH PLAIN BLVD # 101, VANCOUVER, WA 98661(360) 397-8246(360) 397-8450 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Corliss Wentworth Counselor NPPES

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

CORLISS WENTWORTH COUNSELOR (NPI 1669691176) is an individual addiction (substance use disorder) provider in Vancouver, Washington, licensed in Washington (CP00005457) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1669691176

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameCORLISS WENTWORTHCredential: COUNSELOR

Location Address1601 E FOURTH PLAIN BLVD # 101Vancouver, WA 98661-3713

Mailing Address2009 Ne 117th St, 101Vancouver, WA 98686-4022 · (360) 566-9112 · Fax (360) 566-9133

Phone(360) 397-8246

Fax(360) 397-8450

Sole ProprietorYes

Enumeration DateApril 24, 2007

Last NPPES UpdateMarch 25, 2019

✔ NPI 1669691176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WA · CP00005457

1601 E FOURTH PLAIN BLVD # 101, Vancouver, WA 98661

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Other Names 1

Other Name (5)Mrs. Corliss Wentworth-thompson Cp00005457

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 Corliss Wentworth's NPI number?

The NPI number for Corliss Wentworth is 1669691176. It was assigned to this individual provider in the NPPES registry on April 24, 2007. The provider is also known as Mrs. Corliss Wentworth-Thompson Cp00005457.

Where is Corliss Wentworth located?

Corliss Wentworth practices at 1601 E Fourth Plain Blvd # 101, Vancouver, WA 98661. The listed phone number is (360) 397-8246.

What is Corliss Wentworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Corliss Wentworth was last updated on March 25, 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.