Julia Kornyushin-Anderson, LICSW
Social Worker, Clinical in Camas, WA. Individual provider (NPI-1).
NPI number1942965058
StatusActive
Last updated in NPPESMay 13, 2025
Details
- NPI
- 1942965058
- Entity type
- Individual (NPI-1)
- Name
- Julia Kornyushin-Anderson
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2021
- Certification date
- May 13, 2025
- Last updated
- May 13, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LW61151368 | WA | Yes |
| 171R00000X | Interpreter | 6509 | WA | |
| 171R00000X | Interpreter | 8182 | WA |
Practice location
2905 Ne 2nd AveCamas, WA 98607-2310
Phone 360-772-5066
Mailing address
2905 Ne 2nd AveCamas, WA 98607-2310
Phone 360-772-5066
Other practice locations
8716 E Mill Plain Blvd
Vancouver, WA 98664-2531
Vancouver, WA 98664-2531
Phone 360-696-5300 · Fax 360-729-3372
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