Active NPI
Taylor Carlstrom, MSW
- Social Worker
- McMinnville, OR
National Provider Identifier
1003217795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5052
- Practice address
- 627 NE Evans St
McMinnville, OR 97128-3923 - Phone
- (503) 434-7523
- NPI assigned
- Sep 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 5052 | ND | Primary |
Addresses
Primary practice location
627 NE Evans St
McMinnville, OR 97128-3923
Mailing address
627 NE Evans St
McMinnville, OR 97128-3923
Phone (503) 434-7523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74257 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Parts Therapy | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Tigard, OR
- NPI 1831069616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003217795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 NE EVANS ST",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971283923",
"telephone_number": "503-434-7523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 NE EVANS ST",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971283923",
"telephone_number": "503-434-7523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSTROM",
"first_name": "TAYLOR",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ND",
"license": "5052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74257",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.