Individual provider Active NPI

Renelle Taylor, LCSW

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1205136298
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L10780 Issued in OR
Practice address
255 SW Bluff Dr Ste 100
Bend, OR 97702-3999
Phone
(541) 241-6379
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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 L10780 OR Primary

Addresses

Primary practice location

255 SW Bluff Dr Ste 100
Bend, OR 97702-3999

Mailing address

61145 Parkwood CT
Bend, OR 97702-2534
Phone (541) 241-6379

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
I20211110001091 OR Practitioner - Clinical Social Worker 3476942624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Charles Health System IncGroup PAC ID 3870402852, 174 clinicians

Practice addresses (Care Compare)

2500 NE Neff Rd
Bend, OR 97701-6015
Phone (541) 706-2768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. Clinical CurrentSince Jun 6, 2022 Accepting new patients
Sarah Peterson LCSW LLC CurrentSince Nov 7, 2025 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jun 6, 2022 Accepting new patients
Deschutes County Oregon CurrentSince Oct 15, 2021 Accepting new patients
Deschutes County Oregon CurrentSince Oct 15, 2021 Accepting new patients
St. Charles Health System, Inc. Current Accepting new patients
Renelle Taylor LCSW LLC Clinical Past Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

2577 NE Courtney Dr
Bend, OR 97701
Phone (541) 322-7400

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

147 SW Shevlin Hixon Dr
Ste 104
Bend, OR 97702
Phone (541) 312-2252

1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131

Organizations & group practices 7

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1205136298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61145 PARKWOOD CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022534",
            "telephone_number": "541-241-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SW BLUFF DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023999",
            "telephone_number": "541-241-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RENELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.