Active NPI
Sara Vanocker, LCSW, CADC III
- Clinical Social Worker
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L10469
- Practice address
- 1233 Edgewater St NW
Salem, OR 97304-4049 - Phone
- (503) 378-7526
- NPI assigned
- Feb 24, 2016
- Last updated
- Apr 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L10469 | OR | Primary |
Addresses
Primary practice location
1233 Edgewater St NW
Salem, OR 97304-4049
Mailing address
750 Front St NE
Salem, OR 97301-1089
Phone (033) 632-0215
Other practice location 1
750 Front St NE
Salem, OR 97301-1089
Phone (503) 363-2021
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5125 Skyline Rd S
Salem, OR 97306-9427
Phone (800) 813-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeway Recovery Services | Mental Health | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Mosaic Mental Health & Consulting, LLC | Clinical | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
5125 Skyline Rd S
Salem, OR 97306
Phone (503) 361-5400
750 Front St NE
Salem, OR 97301
Phone (503) 361-2660
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/bridgewayrecovery/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
-
- Clinical Social Worker
- Portland, OR
- NPI 1245192640
-
dba Bridgeway Community Health
- Addiction (Substance Use Disorder) Counselor
- Salem, OR
- NPI 1083844401
Mental Health
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1578923256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 FRONT ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973011089",
"telephone_number": "033-632-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 EDGEWATER ST NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973044049",
"telephone_number": "503-378-7526"
}
],
"practiceLocations": [
{
"address_1": "750 Front St NE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973011089",
"country_code": "US",
"telephone_number": "503-363-2021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANOCKER",
"first_name": "SARA",
"credential": "LCSW, CADC III",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-24",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L10469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.