Individual provider Active NPI

Daryl A Handlin, LSCSW

  • Clinical Social Worker
  • Albany, OR
National Provider Identifier
1376734426
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7399 Issued in OR
Practice address
2730 Pacific Blvd SE
Albany, OR 97321-5075
Phone
(541) 967-3866
NPI assigned
Aug 5, 2007
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4149 KS
Clinical Social Worker 1041C0700X L7399 OR Primary

Addresses

Primary practice location

2730 Pacific Blvd SE
Albany, OR 97321-5075

Mailing address

PO Box 100
Albany, OR 97321-0031
Phone (541) 968-3866

Other practice location 1

444 NW Elks Dr
Corvallis, OR 97330-3745
Phone (541) 754-1288

Other practice location 2

445 3rd Ave SW
Albany, OR 97321-2272
Phone (541) 967-3866

Other identifiers 1

IdentifierTypeStateIssuer
500732042MedicaidOR

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
I20170921000926 OR Practitioner - Clinical Social Worker 2264595057 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMSC Az LLCGroup PAC ID 4385929173, 130 clinicians
Corvallis Family Medicine PCGroup PAC ID 8820989700, 12 clinicians

Practice addresses (Care Compare)

Ashland, OR 97520
Phone (855) 241-7160

2400 NW Kings Blvd
Corvallis, OR 97330-3900
Phone 5417572400108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L7399ORMDClinical Social Worker
4149KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical Behavioral Health Services, P.C. CurrentSince Oct 3, 2024 Accepting new patients
BMSC Az LLC Clinical CurrentSince Oct 30, 2023 Accepting new patients
Corvallis Family Medicine PC CurrentSince Oct 4, 2025 Accepting new patients
Gulf Coast Therapy Center PastSince Jan 26, 2020 Accepting new patients

Locations

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

205 Hudson St
Fl 9
New York, NY 10013
Phone (516) 274-9095

2400 NW Kings Blvd
Corvallis, OR 97330
Phone (541) 757-2400

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDACAA

Organizations & group practices 4

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1376734426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973210031",
            "telephone_number": "541-968-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PACIFIC BLVD SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973215075",
            "telephone_number": "541-967-3866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 NW Elks Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303745",
            "country_code": "US",
            "telephone_number": "541-754-1288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 3rd Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973212272",
            "country_code": "US",
            "telephone_number": "541-967-3866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANDLIN",
        "first_name": "DARYL",
        "middle_name": "A",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4149",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500732042",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.