Individual provider Active NPI

Dena Sites, LCSW, CHC

  • Clinical Social Worker
  • The Dalles, OR
National Provider Identifier
1598237661
Registry record updated Dec 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7332 Issued in OR
Practice address
711 Creek View LN
The Dalles, OR 97058-1374
Phone
(541) 806-3535
NPI assigned
Dec 29, 2018
Last updated
Dec 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2018

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 L7332 OR Primary

Addresses

Primary practice location

711 Creek View LN
The Dalles, OR 97058-1374

Mailing address

711 Creekview Lane
The Dalles, OR 97058
Phone (541) 806-3535

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231109001669 OR Practitioner - Clinical Social Worker 3476900671 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L7332ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
DM Sites on Solutions LLC Clinical CurrentSince Oct 30, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546041600000",
    "number": "1598237661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 CREEKVIEW LANE",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "97058",
            "telephone_number": "541-806-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 CREEK VIEW LN",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581374",
            "telephone_number": "541-806-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITES",
        "first_name": "DENA",
        "credential": "LCSW, CHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-29",
        "last_updated": "2018-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

Verify at the official NPI Registry.