Active NPI
Spiro Healing LLC
- Clinical Social Worker
- North Bend, OR
National Provider Identifier
1851801575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801100769
- Legal business name
- SPIRO HEALING LLC
- Practice address
- 2504 Liberty St
North Bend, OR 97459-3230 - Phone
- (720) 556-2449
- NPI assigned
- Oct 8, 2017
- Last updated
- Apr 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Malissa Trojan, LCSW, CCTP
- Title
- Owner & Provider
- Phone
- (720) 556-2449
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801100769 | MI | Primary |
Addresses
Primary practice location
2504 Liberty St
North Bend, OR 97459-3230
Mailing address
2504 Liberty St
North Bend, OR 97459-3230
Other names 1
- SPIRO HEALING
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619654400000",
"number": "1851801575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 LIBERTY ST",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974593230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 LIBERTY ST",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974593230",
"telephone_number": "720-556-2449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPIRO HEALING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-08",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A",
"authorized_official_last_name": "TROJAN",
"authorized_official_first_name": "MALISSA",
"authorized_official_title_or_position": "OWNER & PROVIDER",
"authorized_official_telephone_number": "720-556-2449",
"authorized_official_credential": "LCSW, CCTP"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801100769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SPIRO HEALING",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in North Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.