Active NPI
Dani Walker-Novi, LMSW
- Clinical Social Worker
- Bend, OR
National Provider Identifier
1003294836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C014027
- Practice address
- 1128 NW Harriman St
Bend, OR 97703-1947 - Phone
- (541) 322-7662
- Fax
- (541) 330-4630
- NPI assigned
- May 13, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-33926 | ID | |
| Clinical Social Worker | 1041C0700X | L8043 | OR | |
| Clinical Social Worker | 1041C0700X | C014027 | NC | Primary |
Addresses
Primary practice location
1128 NW Harriman St
Bend, OR 97703-1947
Mailing address
2577 NE Courtney Dr
Bend, OR 97701-7752
Phone (750) 054-1322
Other practice location 1
225 Patton Ave Ste 200
Asheville, NC 28801-2641
Phone (828) 412-5315
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-33926 | ID | MD | Social Worker |
| L8043 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Mountain Community Health Centers | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Asheville, NC
- NPI 1336528314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1003294836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2577 NE COURTNEY DR",
"city": "BEND",
"state": "OR",
"postal_code": "977017752",
"telephone_number": "750-054-1322",
"fax_number": "541-322-7565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 NW HARRIMAN ST",
"city": "BEND",
"state": "OR",
"postal_code": "977031947",
"telephone_number": "541-322-7662",
"fax_number": "541-330-4630"
}
],
"practiceLocations": [
{
"address_1": "225 Patton Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288012641",
"country_code": "US",
"telephone_number": "828-412-5315",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER-NOVI",
"first_name": "DANI",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-13",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-33926",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L8043",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C014027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.