Active NPI
Timothy Richard Schendel, LCSW
- Clinical Social Worker
- Cannon Beach, OR
National Provider Identifier
1154742211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 56129
- Practice address
- 139 W 2ND Ave Ste 4
Cannon Beach, OR 97110-2072 - Phone
- (503) 440-0046
- Fax
- (503) 717-6519
- NPI assigned
- Dec 16, 2013
- Last updated
- Jan 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L12160 | OR | |
| Clinical Social Worker | 1041C0700X | 82880 | CA | |
| Clinical Social Worker | 1041C0700X | 56129 | TX | Primary |
Addresses
Primary practice location
139 W 2ND Ave Ste 4
Cannon Beach, OR 97110-2072
Mailing address
89121 Pinehurst Rd
Gearhart, OR 97138-7365
Phone (503) 440-0046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L12160 | OR | MD | Clinical Social Worker |
| 56129 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Cannon Beach, OR
- NPI 1205561776
-
dba Lower Columbia Hospice
- Community Based Hospice Care Agency
- Astoria, OR
- NPI 1023038858
-
dba Columbia Memorial Hospital
- Critical Access Hospital
- Astoria, OR
- NPI 1932814704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1154742211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89121 PINEHURST RD",
"city": "GEARHART",
"state": "OR",
"postal_code": "971387365",
"telephone_number": "503-440-0046",
"fax_number": "503-440-0046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 W 2ND AVE STE 4",
"city": "CANNON BEACH",
"state": "OR",
"postal_code": "971102072",
"telephone_number": "503-440-0046",
"fax_number": "503-717-6519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHENDEL",
"first_name": "TIMOTHY",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-16",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L12160",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "82880",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "56129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cannon Beach, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.