Terri Louise Dickens Landreth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4140 Issued in OR

Practice address

19550 Amber Meadow Dr Ste 130
Bend, OR 97702-3526

Phone

(541) 969-3494

Fax

(541) 550-2906

NPI assigned

Jul 3, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Terri Louise Dickens Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/piohosp-eec6c5e3
• FHIR API: https://fhir-myrecord.cerner.com/r4/1c1bd3d4-4a26-4d40-b6ea-57e1e5c43016/
• Direct secure messaging: terri.dickens.landreth.1@15532.direct.athenahealth.com

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.

• Morrow County Health District

  • Medicare Defined Swing Bed Hospital Unit
  • Heppner, OR
  • NPI 1770514481
  Medicare reassignment NPD
• Morrow County Health District

  • Critical Access Hospital
  • Heppner, OR
  • NPI 1376572099
  NPD
• Morrow County Health District

  • Rural Health Clinic/Center
  • Ione, OR
  • NPI 1477945517
  NPD

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1295099422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78852 EASTREGAARD RD",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "978189642",
            "telephone_number": "541-969-3494",
            "fax_number": "541-481-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 AMBER MEADOW DR STE 130",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023526",
            "telephone_number": "541-969-3494",
            "fax_number": "541-550-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENS LANDRETH",
        "first_name": "TERRI",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "DICKENS",
            "middle_name": "LOUISE",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Diabetes and Endocrinology Clinic PC
• Diabetes and Obesity Care LLC
• Vince Diamzon, COTA/L
• Steven Diaz, PHARM.D
• Jay M Dicharry, PT
• Lindsey Dickens
• Allison Dickerson
• Kimberly Whalen Dickerson, RN
• Robert Adam Dickey, PSY.D.
• Faith Dieleman, MD

• Clinical Social Worker in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.