Active NPI
Daryl A Handlin, LSCSW
- Clinical Social Worker
- Albany, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L7399
- Practice address
- 2730 Pacific Blvd SE
Albany, OR 97321-5075 - Phone
- (541) 967-3866
- NPI assigned
- Aug 5, 2007
- Last updated
- Apr 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500732042 | Medicaid | OR |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| L7399 | OR | MD | Clinical Social Worker |
| 4149 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Medical Behavioral Health Services, P.C. | Current | Accepting new patients | |
| BMSC Az LLC | Clinical | Current | Accepting new patients |
| Corvallis Family Medicine PC | Current | Accepting new patients | |
| Gulf Coast Therapy Center | Past | 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
- 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.
-
- Family Medicine Physician
- Corvallis, OR
- NPI 1841228327
-
dba New York Medical Behavioral Health Services
- Psychiatry Physician
- New York, NY
- NPI 1235600834
OR
-
- Mental Health Counselor
- Nokomis, FL
- NPI 1710517412
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.