Active NPI
Tracy Marsden, MSW
- Clinical Social Worker
- Bend, OR
National Provider Identifier
1467775643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6990
- Practice address
- 1128 NW Harriman St
Bend, OR 97703-1947 - Phone
- (541) 322-7500
- Fax
- (541) 322-7565
- NPI assigned
- Mar 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 6990 | OR | Primary |
Addresses
Primary practice location
1128 NW Harriman St
Bend, OR 97703-1947
Mailing address
2577 NE Courtney Dr
Bend, OR 97701-7752
Phone (541) 322-7500
Other practice location 1
3088 NE Fairmont Ct
Bend, OR 97701-7602
Phone (503) 750-1651
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241216002670 | OR | Practitioner - Clinical Social Worker | 4981130853 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6990 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deschutes County Oregon | Current | Accepting new patients | |
| Deschutes County Oregon | Current | Accepting new patients | |
| Deschutes County Oregon | Current | Accepting new patients |
Locations
2577 NE Courtney Dr
Bend, OR 97701
Phone (541) 322-7400
1128 NW Harriman St
Bend, OR 97703
Phone (541) 322-7457
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bend, OR
- NPI 1235172180
OR
-
- Addiction (Substance Use Disorder) Counselor
- Bend, OR
- NPI 1366656068
-
- Health Educator
- Bend, OR
- NPI 1598323040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1467775643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2577 NE COURTNEY DR",
"city": "BEND",
"state": "OR",
"postal_code": "977017752",
"telephone_number": "541-322-7500",
"fax_number": "541-322-7565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 NW HARRIMAN ST",
"city": "BEND",
"state": "OR",
"postal_code": "977031947",
"telephone_number": "541-322-7500",
"fax_number": "541-322-7565"
}
],
"practiceLocations": [
{
"address_1": "3088 NE Fairmont Ct",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977017602",
"country_code": "US",
"telephone_number": "503-750-1651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSDEN",
"first_name": "TRACY",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-02",
"last_updated": "2024-11-19",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "6990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.