Organization Active NPI

Spiro Healing LLC

  • Clinical Social Worker
  • North Bend, OR
National Provider Identifier
1851801575
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801100769 Issued in MI
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.