STEPHANIE DIANNE BAXTER - NPI 1952965279 - Social Worker in Longview, WA

Q: What is Stephanie Baxter's NPI number?

The NPI number for Stephanie Baxter is 1952965279. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Q: What is Stephanie Baxter's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Baxter was last updated on April 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Stephanie Dianne Baxter NPPES

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

STEPHANIE DIANNE BAXTER (NPI 1952965279) is an individual social worker in Longview, Washington, licensed in Washington (LW60990251) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952965279

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSTEPHANIE DIANNE BAXTER

Location Address831 12TH AVELongview, WA 98632-2403

Mailing Address1057 12th AveLongview, WA 98632-2509 · (360) 636-3892 · Fax (360) 232-8400

Phone(360) 998-2349

Fax(360) 998-2887

Sole ProprietorNo

Enumeration DateApril 23, 2019

Last NPPES UpdateApril 2, 20267 updates tracked since enumeration

NPPES CertifiedApril 2, 2026

✔ NPI 1952965279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in WA · LW60990251

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LW60990251 (WA)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LW60990251 (WA)

831 12TH AVE, Longview, WA 98632

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Secondary Practice Locations 2

Location 11057 12th AveLongview, WA 98632 · Phone (360) 636-3892 · Fax (360) 232-8400

Location 21498 SE Tech Center Pl Ste 300Vancouver, WA 98683-5509 · Phone (360) 619-2226 · Fax (360) 326-9691

Other Identifiers 1

Medicaid2146977WA

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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Dianne Baxter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 8

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

AIMEE GWYN MAMICH PMHNP-BC, MSN, RN

Nurse Practitioner (Psychiatric/Mental Health)