Individual ProviderKatrinia VanwormerCounselorBehavioral Health & Social Service ProvidersPractice Address12040 NE 128th St, Kirkland, WA 98034-3013(425) 899-1000PECOS EnrollmentBased on the most recent information from CMS, provider Katrinia Vanwormer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1972938546Provider TypeIndividualFull NameVanwormer, KatriniaGenderFemaleSole ProprietorNoEnumeration Date9/13/2013Last Updated9/13/2013Contact InformationPractice LocationPractice Address12040 NE 128th St, Kirkland, WA 98034-3013Phone(425) 899-1000FaxUnlisted FaxMailing LocationMailing Address12040 NE 128th St, Kirkland, WA 98034-3013Phone(425) 899-1000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH00006051WashingtonCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCD000004310Washington