Carol A Zancanella, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L2638 Issued in OR

Practice address

965 SW Emkay Dr Ste 200
Bend, OR 97702-3598

Phone

(541) 410-4374

Fax

(541) 678-5972

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carol Zancanella Professional name

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sharon Richards, LCSW

  • Clinical Social Worker
  • Bend, OR
  • NPI 1770128381
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1164538336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 SW EMKAY DR",
            "address_2": "SUITE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023598",
            "telephone_number": "541-410-4374",
            "fax_number": "541-678-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 SW EMKAY DR STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023598",
            "telephone_number": "541-410-4374",
            "fax_number": "541-678-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANCANELLA",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "ZANCANELLA",
            "credential": "LCSW, LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Zack Porter D.D.S. PC
• Brynn Zagunis, LPC
• Angela R Zallen, MD
• Angelina Maria Zamboni, NP
• Erik Zamboni, DPT
• Janet Marie Zapata
• Walter I Zeichner, MA
• Corbin Zeltins
• Shalea Zepeda
• Timothy J Zerger, PA

• Clinical Social Worker in Bend, OR
• Providers in Bend, 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 Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.