Individual provider Active NPI

Meredith Ellen Maislen, LCSW

  • Clinical Social Worker
  • Newport, OR
National Provider Identifier
1376645028
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 0690 Issued in OR
Practice address
831 NE Avery St Ste a
Newport, OR 97365-3033
Phone
(541) 961-2362
Fax
(503) 961-8146
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS13678 CA
Clinical Social Worker 1041C0700X LCSW 0690 OR Primary
Clinical Social Worker 1041C0700X 021280-1 NY

Addresses

Primary practice location

831 NE Avery St Ste a
Newport, OR 97365-3033

Mailing address

PO Box 1305
Newport, OR 97365-0101
Phone (541) 265-3573

Other identifiers 1

IdentifierTypeStateIssuer
092835MedicaidOR

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
I20100728000715 OR Practitioner - Clinical Social Worker 3375676323 Practice locations: Newport, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

928 SW Hurbert St
Newport, OR 97365-4715
Phone (541) 265-3573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS13678CAMDClinical Social Worker
021280-1NYMDClinical Social Worker
LCSW 0690ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1376645028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1305",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973650101",
            "telephone_number": "541-265-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 NE AVERY ST STE A",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653033",
            "telephone_number": "541-961-2362",
            "fax_number": "503-961-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISLEN",
        "first_name": "MEREDITH",
        "middle_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS13678",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "LCSW 0690",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "021280-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092835",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

Verify at the official NPI Registry.