Samantha M Aldrich

Individual provider Active NPI Clinical Social Worker · Hermiston, OR

NPI 1003359753 · NPPES record last updated Jan 27, 2020

Key facts

NPI
1003359753
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
240 E Gladys Ave Ste 4
Hermiston, OR 97838-1800
Phone
(541) 567-8454
NPI assigned
Nov 29, 2016
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeways, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

240 E Gladys Ave Ste 4
Hermiston, OR 97838-1800

Mailing address

PO Box 692
Stanfield, OR 97875-0692
Phone (541) 567-8454

Other practice location 1

290 Willamette St
Umatilla, OR 97882-6601
Phone (541) 922-0880

Other names

  • Samantha M Tegner Former name

Other providers in Hermiston, OR

All providers in Hermiston, OR · Clinical Social Worker in Oregon

Sources for this page

Verify at the official NPI Registry.