Individual provider Active NPI

David William Singer, MSW, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1174758387
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L4248 Issued in OR
Practice address
4410 SE Woodstock Blvd Ste 230
Portland, OR 97206-6206
Phone
(503) 893-8995
Fax
(503) 354-1778
NPI assigned
May 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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 L4248 OR Primary

Addresses

Primary practice location

4410 SE Woodstock Blvd Ste 230
Portland, OR 97206-6206

Mailing address

13102 SE 130TH Ave
Happy Valley, OR 97086-9357
Phone (503) 893-8995

Other practice location 1

13102 SE 130th Ave
Happy Valley, OR 97086-9357
Phone (035) 893-8995

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
I20130930000275 OR Practitioner - Clinical Social Worker 4284868548 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1428 SE 19TH Ave
Suite C
Portland, OR 97214-4516
Phone (503) 893-8995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David Singer LCSW Clinical CurrentSince Feb 27, 2021 Accepting new patients

Locations

1428 SE 19th Ave
Ste C
Portland, OR 97214
Phone (503) 893-8995

4410 SE Woodstock Blvd
Ste 230
Portland, OR 97206
Phone (503) 314-6349

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1174758387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13102 SE 130TH AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970869357",
            "telephone_number": "503-893-8995",
            "fax_number": "503-354-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 SE WOODSTOCK BLVD STE 230",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066206",
            "telephone_number": "503-893-8995",
            "fax_number": "503-354-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13102 SE 130th Ave",
            "address_purpose": "LOCATION",
            "city": "Happy Valley",
            "state": "OR",
            "postal_code": "970869357",
            "country_code": "US",
            "telephone_number": "035-893-8995",
            "fax_number": "503-354-1778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGER",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-18",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.