Individual provider Active NPI

Ricky Lee Becker, LMSW, CSWA

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1669788105
Registry record updated May 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
A6052 Issued in OR
Practice address
160 SW Scale Hse Loop
Suite 160
Bend, OR 97702-1284
Phone
(541) 312-4316
NPI assigned
Aug 22, 2010
Last updated
May 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X M6052 OR
Clinical Social Worker 1041C0700X A6052 OR Primary

Addresses

Primary practice location

160 SW Scale Hse Loop
Suite 160
Bend, OR 97702-1284

Mailing address

474 NE Emerson Ave
Bend, OR 97701-4939
Phone (262) 389-6778

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

LicenseStateTypeSpecialty
A6052ORMDClinical Social Worker
M6052ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1282435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431216000000",
    "number": "1669788105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 NE EMERSON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014939",
            "telephone_number": "262-389-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SW SCALE HSE LOOP",
            "address_2": "SUITE 160",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021284",
            "telephone_number": "541-312-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "RICKY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LMSW, CSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-22",
        "last_updated": "2015-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "M6052",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A6052",
            "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 May 10, 2015; 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.