Katherine Amman
Individual provider Active NPI Clinical Social Worker · Bend, OR
NPI 1457728073 · NPPES record last updated Apr 10, 2024
Key facts
- NPI
- 1457728073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 548 SW 13TH St
Bend, OR 97702-3184 - Phone
- (541) 388-8459
- Fax
- (541) 388-8116
- NPI assigned
- Aug 31, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rimrock Trails Treatment Services
Practice addresses (Care Compare)
215 SW 7TH St
Redmond, OR 97756-2113
Phone (541) 388-8459
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210421001052 | OR | Practitioner - Clinical Social Worker | 2062820590 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rimrock Trails Treatment Services | Current |
Accepting new patients | |
| The Redmond Family Medicine Center | Current |
Accepting new patients | |
| Bright Horizons Psychiatric Group LLC | Past |
Accepting new patients |
Locations
548 SW 13th St
Bend, OR 97702
Phone (541) 388-8459
1333 NW 9th St
Prineville, OR 97754
Phone (541) 388-8459
215 SW 7th St
Redmond, OR 97756
Phone (541) 316-2277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
548 SW 13TH St
Bend, OR 97702-3184
Mailing address
1333 NW 9TH St
Prineville, OR 97754-1482
Phone (541) 447-2631
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500673381 | Medicaid | OR |
Other names
- Katherine Gabel
Other providers in Bend, OR
- Amedisys Oregon LLC
- Amelia Smith, PSYD., LLC.
- American Medical Transit LLC
- Joel Amezcua
- Amie Schulz LCSW LLC
- Anne Marie Amos
- Amy King LCSW LLC
- Amy Manion Family Therapy
- Rachel Anady
- Ananda Psychotherapy
All providers in Bend, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.