Individual provider Active NPI

Charlotte Rohrbacker

  • Social Worker
  • Klamath Falls, OR
National Provider Identifier
1336696756
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
4509 S 6TH St
Ste 310
Klamath Falls, OR 97603-4883
Phone
(541) 891-5778
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

4509 S 6TH St
Ste 310
Klamath Falls, OR 97603-4883

Mailing address

4509 S 6TH St
Ste 310
Klamath Falls, OR 97603-4883
Phone (541) 891-5778

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
I20200117000316 OR Practitioner - Clinical Social Worker 7416382569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4509 S 6TH St
Suite 310
Klamath Falls, OR 97603-4883
Phone (541) 891-5778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renewing Strength Counseling LLC CurrentSince Nov 18, 2019 Accepting new patients

Locations

4509 S 6th St
Ste 310
Klamath Falls, OR 97603
Phone (541) 891-5778

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1336696756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 S 6TH ST",
            "address_2": "STE 310",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034883",
            "telephone_number": "541-891-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 S 6TH ST",
            "address_2": "STE 310",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034883",
            "telephone_number": "541-891-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHRBACKER",
        "first_name": "CHARLOTTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.