Active NPI
Paisley Pijuan, LCSW
- Clinical Social Worker
- Bend, OR
National Provider Identifier
1043837578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L12111
- Practice address
- 2084 NE Professional CT
Bend, OR 97701-6077 - Phone
- (541) 383-3005
- Fax
- (541) 383-1883
- NPI assigned
- Jun 30, 2020
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L12111 | OR | Primary |
Addresses
Primary practice location
2084 NE Professional CT
Bend, OR 97701-6077
Mailing address
600 SW Columbia St Ste 6250
Bend, OR 97702-1099
Phone (541) 383-3005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Community Health | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Locations
2084 NE Professional Ct
Bend, OR 97701
Phone (541) 322-5753
600 SW Columbia St
Ste 6250
Bend, OR 97702
600 SW Columbia St
Ste 6210
Bend, OR 97702
375 NW Beaver St
Ste 101
Prineville, OR 97754
Phone (541) 316-6026
Interoperability endpoints
- paisleypijuan@tdh.allscriptsdirect.net
- https://api.platform.athenahealth.com/27210/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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)
- Prineville, OR
- NPI 1083633184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1043837578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 SW COLUMBIA ST STE 6250",
"city": "BEND",
"state": "OR",
"postal_code": "977021099",
"telephone_number": "541-383-3005",
"fax_number": "541-383-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2084 NE PROFESSIONAL CT",
"city": "BEND",
"state": "OR",
"postal_code": "977016077",
"telephone_number": "541-383-3005",
"fax_number": "541-383-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIJUAN",
"first_name": "PAISLEY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L12111",
"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 Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.