Individual provider Active NPI

Michael Vargo Stevens, LCSW

  • Clinical Social Worker
  • Hood River, OR
National Provider Identifier
1679605695
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2581 Issued in OR
Practice address
704 Columbia St
Hood River, OR 97031-1720
Phone
(541) 806-7997
Fax
(541) 387-2553
NPI assigned
Mar 12, 2007
Last updated
Dec 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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 2581 OR Primary

Addresses

Primary practice location

704 Columbia St
Hood River, OR 97031-1720

Mailing address

PO Box 1812
Hood River, OR 97031-1839
Phone (541) 806-7997

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
2581ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hood River Counseling, PC Clinical PastSince Nov 6, 2011 Accepting new patients
Kellie Oosterbaan PSYD Rd PC PastSince Jan 1, 2007 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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1679605695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1812",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311839",
            "telephone_number": "541-806-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 COLUMBIA ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311720",
            "telephone_number": "541-806-7997",
            "fax_number": "541-387-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MICHAEL",
        "middle_name": "VARGO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "2581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.