DRAGONFLY COUNSELING PLLC – Clinical Social Worker, NPI 1730607854

DRAGONFLY COUNSELING PLLC is a healthcare provider. based in Clarkston, Washington. specializing in Clinical Social Worker. The organization holds a License No. LW60737830 (WA). The NPI Number for DRAGONFLY COUNSELING PLLC is 1730607854

Main info

Organization
Name
DRAGONFLY COUNSELING PLLC
NPI
1730607854
Phone
(509) 254-5053
Address
PO BOX 2031
Authorized Official
ANDREA L CHARLES OWNER/CLINICIAN LICSW
Enumeration Date
8 September 2017
Last Update Date
7 February 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for DRAGONFLY COUNSELING PLLC

  • PO BOX 2031

    CLARKSTON, WA 994034031

    Phone: (509) 254-5053

    Fax: (509) 769-3500

    Type: Mailing

  • 920 6TH ST

    CLARKSTON, WA 994032079

    Phone: (509) 254-5053

    Fax: (509) 769-3500

    Type: Location

  • 20006 Cedar Valley Rd Ste 113

    Lynnwood, WA 980366478

    Phone: (509) 254-5053

    Fax: (509) 769-3500

    Type: Location

  • Bridge Street, Clarkston, Asotin County, Washington, United States

    CLARKSTON, WA 994032921

    Phone: (509) 254-5053

    Fax: (509) 769-3500

    Type: Location

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: 2017-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-07-31 (679 days ago).

Enrollment records

1

Earliest due date

2024-07-31

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
O20171204000692OClinic/Group PracticeWA2024-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 99403)

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Reviews

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Frequently asked questions

How is DRAGONFLY COUNSELING PLLC identified in CMS data?
CMS-hosted NPPES data lists DRAGONFLY COUNSELING PLLC with NPI 1730607854.
Is DRAGONFLY COUNSELING PLLC still practicing?
DRAGONFLY COUNSELING PLLC is currently listed as active in the public NPI registry.
What healthcare role does DRAGONFLY COUNSELING PLLC hold?
Scheduling teams often label DRAGONFLY COUNSELING PLLC under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is DRAGONFLY COUNSELING PLLC based?
DRAGONFLY COUNSELING PLLC is tied to Clarkston, Washington in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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