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Active NPI 1588798953 Individual Practitioner Female Practitioner

Rangell Lynn Wallen , LICSW

Counselor - Professional • Bremerton, WA

Professional Overview & Biography Verified Profile Summary

Rangell Wallen, LICSW is a registered healthcare professional specializing in Counselor - Professional in Bremerton, WA. Practice services are available at 1 BOONE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Boone Rd

Bremerton, WA 983121894

Telephone 3604755168
Fax 3604754596
Associated Practice Facility / Clinic
🏢 Naval Hospital Bremerton Facility NPI 1760473581

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bremerton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Bremerton, WA (615 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WA LW00004538

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003095811

Doctor of Medicine (M.D.)

Michael Berezhkov

Dental Assistant

NPI 1003331174
Deborah Williams , FNP

Registered Nurse

NPI 1003886797

Family Nurse Practitioner

Dana Therkildsen , IDC

Military Health Care Provider - Independent Duty Corpsman

NPI 1003944836
Dr. William Cogar , DO

Emergency Medicine

NPI 1013083245

Doctor of Osteopathic Medicine (D.O.)

NPI 1013114412

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 29, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2010

Registered at 1 BOONE RD, BREMERTON, WA 983121894 (Tel: 3604755168)

📍
Updated Business Mailing Address March 29, 2010

Registered at 1 BOONE RD, BREMERTON, WA 983121894 (Tel: 3604755168)

👤
Provider Name / Credentials Updated March 29, 2010

Recorded as RANGELL WALLEN, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2010

Counselor (License #LW00004538 in WA)

🟢
Initial NPI Registration & Enumeration March 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588798953
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2007
Last Update: March 29, 2010
Sole Proprietor: Yes

Mailing Address

1 Boone Rd

Bremerton, WA 983121894

Phone: 3604755168

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.