Individual provider Active NPI

Michelle Hallinan, LCSW

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1255809158
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7876 Issued in OR
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

Updated by the provider on Apr 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LCSW26639CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
River Bend Therapy, LLC CurrentSince Apr 17, 2020 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.

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.

Verify at the official NPI Registry.