Active NPI
Dina Sarai Rivas, LCSW
- Clinical Social Worker
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L11041
- Practice address
- 3400 State St Ste G750
Salem, OR 97301-7012 - Phone
- (541) 900-4285
- NPI assigned
- Dec 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L11041 | OR | Primary |
Addresses
Primary practice location
3400 State St Ste G750
Salem, OR 97301-7012
Mailing address
509 Warren Way
Woodburn, OR 97071-5862
Phone (971) 240-3004
Other practice location 1
509 Warren Way
Woodburn, OR 97071-5862
Phone (971) 240-3004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L11041 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Options Counseling Services of Oregon | Mental Health | Current | Accepting new patients |
| Inner Room Somatic Therapy, LLC | Past | Accepting new patients | |
| Marion County | Past | Accepting new patients | |
| Roseburg Therapy LLC | Mental Health | Past | Accepting new patients |
| Childrens Behavioral Health | Past | Accepting new patients |
Locations
360 E 10th Ave
Ste 450
Eugene, OR 97401
11010 SE Division St
Ste 202
Portland, OR 97266
Phone (503) 335-5975
2645 Portland Rd NE
Ste 120
Salem, OR 97301
1320 Meridian Dr
Woodburn, OR 97071
Phone (503) 498-5476
Organizations & group practices 5
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.
-
- Mental Health Counselor
- Eugene, OR
- NPI 1548275217
-
- Health Maintenance Organization
- Woodburn, OR
- NPI 1174072086
-
- Professional Counselor
- Eugene, OR
- NPI 1073241030
-
- Adult Mental Health Clinic/Center
- Salem, OR
- NPI 1528147782
-
- Mental Health Counselor
- Roseburg, OR
- NPI 1538665013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1215470612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 WARREN WAY",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970715862",
"telephone_number": "971-240-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 STATE ST STE G750",
"city": "SALEM",
"state": "OR",
"postal_code": "973017012",
"telephone_number": "541-900-4285"
}
],
"practiceLocations": [
{
"address_1": "509 Warren Way",
"address_purpose": "LOCATION",
"city": "Woodburn",
"state": "OR",
"postal_code": "970715862",
"country_code": "US",
"telephone_number": "971-240-3004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVAS",
"first_name": "DINA",
"middle_name": "SARAI",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-02",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L11041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.