Snow Peak Youth Camp, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0231 Issued in OR

Legal business name

SNOW PEAK YOUTH CAMP, INC.

Doing business as

Santiam Crossing

Practice address

44644 Camp Morrison Dr
Box 482
Scio, OR 97374-9336

Phone

(503) 394-4294

Fax

(503) 394-7096

NPI assigned

Sep 30, 2010

Organization subpart

No

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

Authorized official

Name

Jeniveve Rollins, LCSWNPI 1881926863

Title

Clinical Director, Board Chair

Phone

(503) 394-4294

Specialties & licenses 1

Addresses

Other names 1

• Santiam Crossing Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeniveve Rollins, LCSW

  • Clinical Social Worker
  • Scio, OR
  • NPI 1881926863
  NPD (past) Authorized official

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1386953891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 482",
            "city": "SCIO",
            "state": "OR",
            "postal_code": "973740482",
            "telephone_number": "503-394-4294",
            "fax_number": "503-394-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44644 CAMP MORRISON DR",
            "address_2": "BOX 482",
            "city": "SCIO",
            "state": "OR",
            "postal_code": "973749336",
            "telephone_number": "503-394-4294",
            "fax_number": "503-394-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOW PEAK YOUTH CAMP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "JENIVEVE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR, BOARD CHAIR",
        "authorized_official_telephone_number": "503-394-4294",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "0231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santiam Crossing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeniveve Rollins, LCSW
• Sagradamente LLC
• Scio School District Linn Co. 95 C
• Scio School District Linn Co. 95 C
• David Ryan Simmons, MD
• Kylie Stillman, RN
• Becky R Stotler
• Valdez Mobile Phlebotomy LLC (Valdez Mobile)
• Christian Valdez
• Flora Yao, M.D

• Clinical Social Worker in Scio, OR
• Providers in Scio, 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 Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.