Active NPI
Marie McDaniel-Bellisario
- Social Worker
- McMinnville, OR
National Provider Identifier
1003945841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW 0864
- Practice address
- 627 NE Evans St
McMinnville, OR 97128-3923 - Phone
- (503) 434-7523
- NPI assigned
- Mar 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW 0864 | OR | Primary |
| Clinical Social Worker | 1041C0700X |
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
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 0864 | OR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195603200000",
"number": "1003945841",
"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": "MCDANIEL-BELLISARIO",
"first_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "LCSW 0864",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.