Individual provider Active NPI

Rachel Elizabeth Delance

  • Clinical Social Worker
  • Redmond, OR
National Provider Identifier
1275022311
Registry record updated Nov 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
128 W Antler Ave
Redmond, OR 97756-1852
Phone
(541) 316-5816
NPI assigned
May 3, 2018
Last updated
Nov 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2023

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 Primary

Addresses

Primary practice location

128 W Antler Ave
Redmond, OR 97756-1852

Mailing address

128 W Antler Ave
Redmond, OR 97756-1852
Phone (541) 316-5816

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
I20230830000629 OR Practitioner - Clinical Social Worker 9032572615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

128 W Antler Ave
Redmond, OR 97756-1852
Phone (541) 316-5816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rd Therapy Clinical CurrentSince Nov 19, 2023 Accepting new patients
Bend Memorial Clinic PC Current Accepting new patients
Bend Memorial Clinic PC CurrentSince Sep 1, 2023 Accepting new patients

Locations

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

128 W Antler Ave
Redmond, OR 97756
Phone (541) 255-1192

333 NW Larch Ave
Ste 2
Redmond, OR 97756
Phone (541) 382-4900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699056000000",
    "number": "1275022311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W ANTLER AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561852",
            "telephone_number": "541-316-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W ANTLER AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561852",
            "telephone_number": "541-316-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANCE",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2023-11-04",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.