Danielle Givens, LCSW
Individual provider Active NPI Social Worker · Sutherlin, OR
NPI 1104294933 · NPPES record last updated Jul 16, 2019
Key facts
- NPI
- 1104294933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 123 Ponderosa Dr
Sutherlin, OR 97479-9812 - Phone
- (541) 459-3788
- NPI assigned
- Sep 10, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180607002925 | OR | Practitioner - Clinical Social Worker | 6507121886 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogue Psych Consultants, LLC | Current |
Accepting new patients | |
| Rogue Psych Consultants | Past |
Accepting new patients |
Locations
425 Alexander Loop
Eugene, OR 97401
Phone (541) 345-6199
835 Crater Lake Ave
Medford, OR 97504
Phone (541) 507-4141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
123 Ponderosa Dr
Sutherlin, OR 97479-9812
Mailing address
123 Ponderosa Dr
Sutherlin, OR 97479-9812
Phone (541) 459-3788
Other providers in Sutherlin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.