NPIMap

Organization Active NPI

Benton County

  • Clinical Social Worker
  • Corvallis, OR
National Provider Identifier
1144299934
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3494 Issued in OR
Legal business name
BENTON COUNTY
Practice address
530 NW 27TH St
Corvallis, OR 97330-5223
Phone
(541) 766-6637
NPI assigned
Mar 15, 2006
Organization subpart
Yes
Parent organization
BENTON COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Lacey Mollel
Title
Health Center Director
Phone
(541) 766-6835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3494 OR Primary

Addresses

Primary practice location

530 NW 27TH St
Corvallis, OR 97330-5223

Mailing address

530 NW 27TH St
Corvallis, OR 97330-5223
Phone (541) 766-6637

National Provider Directory

National Provider Directory
Tax ID family
Benton County Health de13 organizations share this tax ID, including this one
Part of
Benton County Health de

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1144299934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NW 27TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973305223",
            "telephone_number": "541-766-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NW 27TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973305223",
            "telephone_number": "541-766-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENTON COUNTY",
        "enumeration_date": "2006-03-15",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "MOLLEL",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "HEALTH CENTER DIRECTOR",
        "authorized_official_telephone_number": "541-766-6835"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "3494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.