Individual provider Active NPI

Michael Howard

  • Clinical Social Worker
  • Medford, OR
National Provider Identifier
1457015984
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
A14596 Issued in OR
Practice address
201 W 6TH St
Medford, OR 97501-2708
Phone
(541) 200-2900
Fax
(541) 200-2948
NPI assigned
Oct 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X A14596 OR Primary

Addresses

Primary practice location

201 W 6TH St
Medford, OR 97501-2708

Mailing address

201 W 6TH St
Medford, OR 97501-2708
Phone (541) 200-2900

Other practice location 1

301 Freeman Rd Unit 13
Central Point, OR 97502-2644
Phone (541) 930-4249

Other practice location 2

1500 NE Irving St Ste 210
Portland, OR 97232-2243
Phone (425) 477-4215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A14596ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbiacare Services Inc CurrentSince Sep 20, 2022 Accepting new patients
Mindful Therapy Group PC Clinical PastSince Mar 5, 2024 Accepting new patients

Locations

201 W 6th St
Medford, OR 97501
Phone (541) 200-2900

Organizations & group practices 2

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": "1635552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1457015984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 6TH ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012708",
            "telephone_number": "541-200-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 6TH ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012708",
            "telephone_number": "541-200-2900",
            "fax_number": "541-200-2948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Freeman Rd Unit 13",
            "address_purpose": "LOCATION",
            "city": "Central Point",
            "state": "OR",
            "postal_code": "975022644",
            "country_code": "US",
            "telephone_number": "541-930-4249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 NE Irving St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322243",
            "country_code": "US",
            "telephone_number": "425-477-4215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-30",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A14596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.