Look up the most recent NPI and PECOS records

Northwest Youth Services

Social Worker

Behavioral Health & Social Service Providers

108 Prospect St, Bellingham, WA 98225-4402

PECOS Enrollment

Based on the most recent information from CMS, provider Northwest Youth Services does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1881281897
Provider Type
Organization
Full Name
Northwest Youth Services

Subpart
No
Enumeration Date
12/23/2020
Last Updated
12/23/2020

Contact Information

Practice Location

108 Prospect St, Bellingham, WA 98225-4402

(360) 734-9862

Unlisted Fax

Mailing Location

108 Prospect St, Bellingham, WA 98225-4402

(360) 734-9862

Unlisted Fax

Authorized Official

Douglas, Ryan (Owner)

(360) 734-9862

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Northwest Youth Services

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Thorndike, Kathleen Lambert

Given-Helms, Jennifer

Bronstein, Erika

Ziegler, Rena Mazel

Lyons, Toni

Adler, Mary

Enstad, Cheryl Noel Richards

Dijulio, Florence M

Nicholson, Mike Lyle

Heart ' N Hooves Corporation