Active NPI
Carol Lynn Draper, LCSW
- Clinical Social Worker
- Salem, OR
National Provider Identifier
1669706180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4223
- Practice address
- 2600 Center St NE
Salem, OR 97301-2669 - Phone
- (503) 945-2999
- NPI assigned
- Sep 30, 2009
- Last updated
- Sep 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | L4223 | OR | Primary |
Addresses
Primary practice location
2600 Center St NE
Salem, OR 97301-2669
Mailing address
1589 SW Nicole Dr
McMinnville, OR 97128-7680
Phone (503) 857-0180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L4223 | Other | OR | LICENSED CLINICAL SOCIAL WORKER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4223 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1669706180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1589 SW NICOLE DR",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971287680",
"telephone_number": "503-857-0180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 CENTER ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012669",
"telephone_number": "503-945-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAPER",
"first_name": "CAROL",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-30",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "L4223",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
- Dr. Brett Renquist D.C., L.Ac (Renquist Chiropractic and Acupuncture)
- Dr. Carlene Shultz, P.C.
- Dr. John O. Renquist (Renquist Chiropractic Clinic)
- Dr. Linda a. Taylor ND, L.Ac,PC
- Dr. Vonny Ngantung (Northwest Orthodontic Specialists)
- Leslie A Drapiza, M.D.
- Donald Dravis, M.D.
- Haley Lyn Drew, LMT
- Jan Reatha Drill, RN
- Tyrone Dripps, CACD-1
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.