Intentional Living Programs, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INTENTIONAL LIVING PROGRAMS, LLC

Practice address

405 W 4TH St
The Dalles, OR 97058-1305

Phone

(541) 298-8227

Fax

(541) 769-0153

NPI assigned

Oct 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Bartholomew, LCSW

Title

Owner

Phone

(541) 298-8227

Specialties & licenses 1

Addresses

Other names 1

• Sandra E. Bartholomew Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandie Bartholomew, LCSW

  • Clinical Social Worker
  • The Dalles, OR
  • NPI 1447450051
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1013550441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 4TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581305",
            "telephone_number": "541-298-8227",
            "fax_number": "541-769-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W 4TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581305",
            "telephone_number": "541-298-8227",
            "fax_number": "541-769-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL LIVING PROGRAMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "BARTHOLOMEW",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-298-8227",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandra E. Bartholomew",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Geoffrey Francis Hunley, IDC
• Rebecca Hunter, MSW
• Amy Hutchinson
• Inner Sight Counseling, LLC
• Integrity Wound Physicians Inc
• Isaac Irby
• Diane Joan Irwin, LCSW
• Jennifer Kathryn Isbelle, HIS
• Jennifer Sue Jehnsen, MD
• Anna Jensen

• Clinical Social Worker in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.