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MARY KAUFMAN LICSW ASSOCIATE
NPI 1710421037
Social Worker - Clinical in Vancouver, WA

Active since December 05, 2016PECOS EnrolledAccepts Medicare Assignment
108 SE 124TH AVE STE 6, VANCOUVER, WA 98684(360) 910-1662(360) 989-1162 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mary Kaufman Licsw Associate NPPES

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

MARY KAUFMAN LICSW ASSOCIATE (NPI 1710421037) is an individual clinical provider in Vancouver, Washington, licensed in Washington (LW60781542) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1710421037
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY KAUFMANCredential: LICSW ASSOCIATE
Location Address108 SE 124TH AVE STE 6Vancouver, WA 98684-6015
Mailing Address3600 A St Apt 29Washougal, WA 98671-2657 · (360) 910-1662 · Fax (360) 989-1162
Phone(360) 910-1662
Fax(360) 989-1162
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 5, 2016
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1710421037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · LW60781542
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.
108 SE 124TH AVE STE 6, Vancouver, WA 98684
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Kaufman Licsw Associate is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517209331
PECOS Enrollment IDI20190426002149
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98684 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.

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 Mary Kaufman's NPI number?

The NPI number for Mary Kaufman is 1710421037. It was assigned to this individual provider in the NPPES registry on December 5, 2016.

Where is Mary Kaufman located?

Mary Kaufman practices at 108 SE 124th Ave Ste 6, Vancouver, WA 98684. The listed phone number is (360) 910-1662.

What is Mary Kaufman's specialty?

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

Is Mary Kaufman enrolled in Medicare?

Yes. Mary Kaufman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Kaufman accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mary Kaufman 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 Mary Kaufman was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.