RESTORED AND REVIVED NPI 1619856424

NPI Information

  • NPI: 1619856424
  • Provider Name: RESTORED AND REVIVED
  • Classification: Social Worker - 104100000X
  • Entity Type: Organization
  • Address: 9317 NE HIGHWAY 99 STE J
    VANCOUVER, WA
    ZIP 98665
  • Phone: (603) 773-4623

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NPI Details

RESTORED AND REVIVED is a social worker in Vancouver, WA. The provider is 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. RESTORED AND REVIVED NPI is 1619856424. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9317 NE HIGHWAY 99 STE J
VANCOUVER, WA
ZIP 98665-900
Phone: (603) 773-4623

The provider's authorized official is Ryanne Smith .
The authorized official title is Interim Clinical Director and has the following contact phone number (916) 213-5624.

The enumeration date for this NPI number is 8/27/2025 and was last updated on 9/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2251B00000XCase ManagementNo
3251S00000XCommunity/Behavioral HealthNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5104100000XSocial WorkerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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