Active NPI
Dianna Kay Bowlen, MSW, LCSW
- Clinical Social Worker
- Scappoose, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L3223
- Practice address
- 51577 SE 2ND St Apt 1203
Scappoose, OR 97056-4562 - Phone
- (503) 997-7734
- NPI assigned
- Apr 15, 2011
- Last updated
- Dec 15, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | ||
| Clinical Social Worker | 1041C0700X | L3223 | OR | Primary |
Addresses
Primary practice location
51577 SE 2ND St Apt 1203
Scappoose, OR 97056-4562
Mailing address
51577 SE 2ND St Apt 1203
Scappoose, OR 97056-4562
Phone (503) 997-7734
Other names 1
- Dianna Kay Kingdon
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3223 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Clinical | Current | Accepting new patients |
| A Season for Change | Past | Accepting new patients |
Locations
5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100
11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
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.
-
dba Mindful Therapy Group
- Clinical Social Worker
- Mountlake Terrace, WA
- NPI 1316238678
OR
-
- Community/Behavioral Health Agency
- Troutdale, OR
- NPI 1760859227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1699065284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51577 SE 2ND ST APT 1203",
"city": "SCAPPOOSE",
"state": "OR",
"postal_code": "970564562",
"telephone_number": "503-997-7734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51577 SE 2ND ST APT 1203",
"city": "SCAPPOOSE",
"state": "OR",
"postal_code": "970564562",
"telephone_number": "503-997-7734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLEN",
"first_name": "DIANNA",
"middle_name": "KAY",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-15",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L3223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANNA",
"last_name": "KINGDON",
"middle_name": "KAY",
"credential": "MSW, LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Scappoose, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.