Kimberly Seavert

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4663 Issued in OR

Practice address

2575 Westgate BLDG 1
Pendleton, OR 97801-9613

Phone

(541) 429-8721

Fax

(541) 429-8720

NPI assigned

Jan 3, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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 Counseling Solutions

  • Psychiatric Residential Treatment Facility
  • Pendleton, OR
  • NPI 1245038850
  NPD
• Columbiacare Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1982140588
  NPD (past)
• Center for Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Great Falls, MT
  • NPI 1144251885

  Clinical

  NPD (past)
• Center for Mental Health

  • Mental Illness Community Based Residential Treatment Facility
  • Great Falls, MT
  • NPI 1710450044
  NPD (past)

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1295072767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 HEATHROW WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044004",
            "telephone_number": "541-858-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 WESTGATE BLDG 1",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978019613",
            "telephone_number": "541-429-8721",
            "fax_number": "541-429-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAVERT",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamen Schofield
• Alexandra Elizabeth Schuck
• Erin Marie Schuck, QMHA
• Leslie Neal Scott, PMHNP-BC
• Wenona R Scott
• Misty Seckman
• Richard Seigler
• Cody Nathaniel Sellers, D.O.
• Grady D Shaver, DMD
• Vivian June Shaw, CRM

• All providers in Pendleton, OR
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.