Active NPI
Michelle Hallinan, LCSW
- Clinical Social Worker
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L7876
- Practice address
- 147 SW Shevlin Hixon Dr Ste 201
Bend, OR 97702-1137 - Phone
- (541) 581-0085
- Fax
- (541) 610-1884
- NPI assigned
- Nov 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW26639 | CA | |
| Clinical Social Worker | 1041C0700X | L7876 | OR | Primary |
Addresses
Primary practice location
147 SW Shevlin Hixon Dr Ste 201
Bend, OR 97702-1137
Mailing address
320 SW Century Dr Ste 405-175
Bend, OR 97702-3037
Other practice location 1
390 SW Columbia St Ste 210
Bend, OR 97702-3227
Phone (415) 465-2922
Other practice location 2
497 SW Century Dr Ste 102
Bend, OR 97702-1167
Phone (541) 581-0085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW26639 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Bend Therapy, LLC | Current | Accepting new patients |
Locations
147 SW Shevlin Hixon Dr
Ste 201
Bend, OR 97702
Phone (415) 465-2922
320 SW Century Dr
Ste 405175
Bend, OR 97702
390 SW Columbia St
Ste 210
Bend, OR 97702
Phone (541) 350-0571
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.
-
- Community/Behavioral Health Agency
- Bend, OR
- NPI 1982172896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1255809158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SW CENTURY DR STE 405-175",
"city": "BEND",
"state": "OR",
"postal_code": "977023037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 SW SHEVLIN HIXON DR STE 201",
"city": "BEND",
"state": "OR",
"postal_code": "977021137",
"telephone_number": "541-581-0085",
"fax_number": "541-610-1884"
}
],
"practiceLocations": [
{
"address_1": "390 SW Columbia St Ste 210",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977023227",
"country_code": "US",
"telephone_number": "415-465-2922",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "497 SW Century Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977021167",
"country_code": "US",
"telephone_number": "541-581-0085",
"fax_number": "541-610-1884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALLINAN",
"first_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-08",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW26639",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L7876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.