Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Child and Adolescent Clinic

Organization Case Manager/Care Coordinator · NPI 1134657778

Child and Adolescent Clinic is a Case Manager/Care Coordinator in Longview, Washington. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

971 11th Ave
Longview, WA 98632-2503
Phone: (360) 577-1771
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1134657778
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChild and Adolescent Clinic
Authorized official Chelsay Pedersen — Credentialing Specialist · (360) 423-6140
Other names Child And Adolescent Clinic Health Homes; Child And Adolescent Clinic Health Homes
NPI enumeratedMay 26, 2017
Last updated in NPPESMay 26, 2017
Mailing address971 11th Ave, Longview, WA 98632-2503

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