Individual provider Active NPI

Lauren V Stenzel, LCSW, MSW

  • Clinical Social Worker
  • Depoe Bay, OR
National Provider Identifier
1063781391
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L005250 Issued in OR
Practice address
206 SW the Pines Dr
Depoe Bay, OR 97341-9598
Phone
(505) 288-1733
NPI assigned
Dec 15, 2011
Last updated
Jun 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L005250 OR Primary

Addresses

Primary practice location

206 SW the Pines Dr
Depoe Bay, OR 97341-9598

Mailing address

206 SW the Pines Dr
Depoe Bay, OR 97341-9598
Phone (505) 288-1733

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120426000065 OR Practitioner - Clinical Social Worker 9335301084 Practice locations: Depoe Bay, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

206 SW the Pines Dr
Depoe Bay, OR 97341-9598
Phone (505) 288-1733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L005250ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1063781391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SW THE PINES DR",
            "city": "DEPOE BAY",
            "state": "OR",
            "postal_code": "973419598",
            "telephone_number": "505-288-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SW THE PINES DR",
            "city": "DEPOE BAY",
            "state": "OR",
            "postal_code": "973419598",
            "telephone_number": "505-288-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENZEL",
        "first_name": "LAUREN",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L005250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depoe Bay, OR

Sources for this page

Verify at the official NPI Registry.