Individual provider · Type 1 NPI

Ellen Marie Standefer, LICSW, LCSW

Clinical Social Worker · Vancouver, WA

NPI number 1679008163 Active

Practice location

2621 NE 134th St, Ste 340
Vancouver, WA 98686-3036

Call (360) 450-0140 Map

Fax (877) 343-0535

Other practice locations

  • 400 NE Mother Joseph Pl, Vancouver, WA 98664-3200 · (360) 256-2000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XL7044 (OR)
Clinical Social Worker Primary 1041C0700XLW60748476 (WA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1679008163

Ellen Marie Standefer, LICSW, LCSW's National Provider Identifier is 1679008163, issued on Apr 22, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vancouver, WA. The record was last updated on May 13, 2026.