MS. MICHELLE LYN MANDERS (MSW, LCSW) – Social Worker, NPI 1225419534

MS. MICHELLE LYN MANDERS (MSW, LCSW) is a healthcare provider. based in Vancouver, Washington. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. SW20665 (FL). The NPI Number for MS. MICHELLE LYN MANDERS (MSW, LCSW) is 1225419534

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MS. MICHELLE LYN MANDERS (MSW, LCSW)
NPI
1225419534
Phone
(503) 220-8262
Address
1601 E 4TH PLAIN BLVD
Enumeration Date
11 June 2015
Last Update Date
14 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7864146666
Graduation Year
2015 (11 years ago)
PAC ID
9739609991
Group Practice PAC ID
6406010834
Professional Enrollment ID
I20250219001146
Address ID
FL334461601DE7091XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,397 CLINICAL SOCIAL WORKER in WA

Provider Addresses for MS. MICHELLE LYN MANDERS (MSW, LCSW)

  • 1601 E 4TH PLAIN BLVD

    BLDG 18

    VANCOUVER, WA 986613753

    Phone: (503) 220-8262

    Type: Mailing

  • 510 E OCEAN AVE APT 465

    BOYNTON BEACH, FL 334354913

    Phone: (503) 715-6402

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250219001146IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98661)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406010834View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Clinical Social WorkerFL
Mental Health CounselorFL
Clinical PsychologistFL
Clinical Social WorkerFL
Clinical Social WorkerFL
Clinical Social WorkerFL
-FL
Clinical Social WorkerFL
Marriage And Family TherapistFL

Reviews

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Frequently asked questions

How do I look up MS. MICHELLE LYN MANDERS (MSW, LCSW) by NPI?
Use NPI 1225419534 when you need to reference MS. MICHELLE LYN MANDERS (MSW, LCSW) in forms, claims, or directories.
Is MS. MICHELLE LYN MANDERS (MSW, LCSW) currently active in the NPI registry?
CMS-published data lists MS. MICHELLE LYN MANDERS (MSW, LCSW) as an active registrant.
What field does MS. MICHELLE LYN MANDERS (MSW, LCSW) work in?
You can think of MS. MICHELLE LYN MANDERS (MSW, LCSW) as practicing within Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place MS. MICHELLE LYN MANDERS (MSW, LCSW)?
The snapshot lists Vancouver, Washington for MS. MICHELLE LYN MANDERS (MSW, LCSW); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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