Melinda Beth Soules, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L5631 Issued in OR

Practice address

745 NW Mt Washington Dr
Suite 301
Bend, OR 97703-1574

Phone

(541) 408-5609

NPI assigned

Jan 24, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sarah Peterson LCSW LLC

  • Mental Health Counselor
  • Bend, OR
  • NPI 1316503105
  NPD
• Bend Senior Care Management LLC

  • Clinical Social Worker
  • Bend, OR
  • NPI 1952991507
  NPD (past)

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1801134879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2197 NW CLEARWATER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037003",
            "telephone_number": "541-408-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 NW MT WASHINGTON DR",
            "address_2": "SUITE 301",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031574",
            "telephone_number": "541-408-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULES",
        "first_name": "MELINDA",
        "middle_name": "BETH",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiersten Leigh Sorensen, FNP
• Alison Ward Sorenson, LPC
• Eric Luther Sorenson, PA-C
• Whitney Sorenson, LMT
• Cheryl Nelson Soronen, MD
• Sound Pain Alliance (Summit Health Solutions)
• South Sound Inpatient Physicians PLLC (Sound Inpatient Physicians)
• Southside Physical Therapy, Inc.
• Jill Oxley Souto-Maior, R.D., L.D.
• Josie Sova, COTA/L

• Clinical Social Worker in Bend, OR
• Providers in Bend, 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 Feb 3, 2017; 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.

Verify at the official NPI Registry.