Individual provider Active NPI

Karen K. Tamminga, LCSW

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1578611752
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L1760 Issued in OR
Practice address
336 NE Norton Ave
Suite 4
Bend, OR 97701-4350
Phone
(541) 388-8231
NPI assigned
Jan 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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 L1760 OR Primary

Addresses

Primary practice location

336 NE Norton Ave
Suite 4
Bend, OR 97701-4350

Mailing address

22570 Rickard Rd
Bend, OR 97702-9231
Phone (541) 388-8231

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
L1760ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1578611752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22570 RICKARD RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029231",
            "telephone_number": "541-388-8231",
            "fax_number": "541-385-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 NE NORTON AVE",
            "address_2": "SUITE 4",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014350",
            "telephone_number": "541-388-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMMINGA",
        "first_name": "KAREN",
        "middle_name": "K.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L1760",
            "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 Jan 27, 2012; 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.