Kathy M Danze, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1216 Issued in OR

Practice address

16110 SW Regatta LN
Beaverton, OR 97006-8942

Phone

(503) 629-2131

Fax

(503) 617-9379

NPI assigned

Jul 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CH Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Portland, OR
  • NPI 1033149281
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215950126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42510",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972420510",
            "telephone_number": "503-963-1290",
            "fax_number": "503-230-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 SW REGATTA LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068942",
            "telephone_number": "503-629-2131",
            "fax_number": "503-617-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANZE",
        "first_name": "KATHY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "054123015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "293389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Dieter Counseling LLC
• Marie Anne Daniels, QMHP-R
• Amy Danielson, OTD, OTR/L
• Michael Thomas Daniewicz, MA LPC
• Stella Marie Dantas, M.D.
• Kevin Dao, MD, MPH, MAPS, LPC
• Anhar Daoud
• Page Y. Dardis, M.D.
• Darin M Dichter, DMD PC
• Jennifer Claire Darling, LMT

• Social Worker in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.