Mandee Ray Awmiller, MSW, LCSW, CADC I

Key facts

NPI

1568089423

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

L11164 (OR)

Practice address

150 SW 4TH St
Redmond, OR 97756-1838

Phone

(541) 788-0042

NPI assigned

Jun 26, 2020

Sex

Female

Sole proprietor

Yes

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.

• Best Care Treatment Services Community/Behavioral Health Agency · Prineville, OR · NPI 1194368373
  NPD (past)
• Bright Horizons Psychiatric Group LLC Child & Adolescent Psychiatric/Mental Health Registered Nurse · Redmond, OR · NPI 1629724695
  NPD (past)

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 23, 2024.

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1568089423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "97756",
            "telephone_number": "541-788-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SW 4TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561838",
            "telephone_number": "541-788-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWMILLER",
        "first_name": "MANDEE RAY",
        "credential": "MSW, LCSW, CADC I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "21-05-10131",
            "primary": false
        },
        {
            "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": "L11164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Redmond, OR · Clinical Social Worker in Oregon