Child & Adolescent Resource Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4459 Issued in OR

Legal business name

CHILD & ADOLESCENT RESOURCE CENTER, LLC

Practice address

1736 NE Hembree St
McMinnville, OR 97128-3314

Phone

(503) 472-2233

Fax

(503) 472-2299

NPI assigned

Jun 24, 2009

Organization subpart

No

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

Authorized official

Name

Denise B Fellows, LCSW, CADC I

Title

Business Owner

Phone

(503) 472-2233

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1730317033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 NE HEMBREE ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971283314",
            "telephone_number": "503-472-2233",
            "fax_number": "503-472-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 NE HEMBREE ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971283314",
            "telephone_number": "503-472-2233",
            "fax_number": "503-472-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & ADOLESCENT RESOURCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "FELLOWS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "503-472-2233",
        "authorized_official_credential": "LCSW, CADC I"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "08-12-12",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen John Chaffee, DO
• Ann M Chaffin, CADCI, QMHP, MSW
• Jacqueline Chairez, MA
• Grace Anne Chamberlain
• Sunisa Chanyaputhipong, MD
• Zachery Paul Christenson
• Christopher a. Blake, MD, PC
• Carolee Church
• Holly Churchill
• Kenneth M Cinnamon

• Clinical Social Worker in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.