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

Mary Kaufman, LICSWASSOCIATE

Individual provider Clinical Social Worker · NPI 1710421037

Mary Kaufman, LICSWASSOCIATE is a Clinical Social Worker in Vancouver, Washington. Qualified in 2006, 20 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
20
Licensed in
WA
In the registry since
2016
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Practice location Address checks out

108 SE 124th Ave Ste 6
Vancouver, WA 98684-6015
Phone: (360) 910-1662
Fax: (360) 989-1162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60781542 (WA)

Record details

NPI number1710421037
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSWASSOCIATE
Sole proprietorYes
NPI enumeratedDecember 5, 2016
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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