Daniel R Foster, MSW CSWA QMHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A13296 Issued in OR

Practice address

4760 Portland Rd NE
Salem, OR 97305-1760

Phone

(503) 378-5952

NPI assigned

May 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1053512954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 IMPERIAL DR NW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211697",
            "telephone_number": "541-981-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 PORTLAND RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051760",
            "telephone_number": "503-378-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "DANIEL",
        "middle_name": "R",
        "credential": "MSW CSWA QMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A13296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Larie Forsythe, RRT RPSGT
• Cassie Fort, ATR, LPC
• Owen Fortney, DC
• Zachary Alexander Foster-Taylor
• Ashlee Foster
• Jennifer Player Foster, P.A.-C.
• Mary A. Foster
• Melanie Foster
• Tanya Rose Fountain
• Jessica Fouts, COTA

• Clinical Social Worker in Salem, OR
• Providers in Salem, 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 Jun 29, 2022; 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.