Dianne T Mason, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2564 Issued in OR

Practice address

2015 NW 39TH St
Suite 302
Lincoln City, OR 97367-4824

Phone

(541) 557-1518

Fax

(541) 996-4004

NPI assigned

Jun 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• County of Polk

  • State or Local Public Health Clinic/Center
  • Dallas, OR
  • NPI 1710910781
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497796759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973670170",
            "telephone_number": "541-557-1518",
            "fax_number": "541-996-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 NW 39TH ST",
            "address_2": "SUITE 302",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674824",
            "telephone_number": "541-557-1518",
            "fax_number": "541-996-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "DIANNE",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "2564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210628",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Joseph Mallonee, L.P.T.
• Rejeesh Menon Manchezhathu Rajagopalamenon, MD
• Meredith T Mann, DO
• Margaret a Portwood
• Jane Beth Margulis, M.S., MFC
• Nina Louise Mattarella, MD
• Robin Mays, RPH
• Brenda McAllister, RN
• Christine Lynn McCambridge, PMHNP-BC
• Jeffrey H McDonald, MD

• Clinical Social Worker in Lincoln City, OR
• Providers in Lincoln City, 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 Jul 8, 2007; 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.