Active NPI
Renee Bisnaire, MSW, LDM, LCSW
- Clinical Social Worker
- Salem, OR
National Provider Identifier
1861726267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L11109
- Practice address
- 2355 State St Ste 101
Salem, OR 97301-4541 - Phone
- (541) 972-3830
- NPI assigned
- Oct 1, 2009
- 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 |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | DEM-LD-10127927 | OR | |
| Clinical Social Worker | 1041C0700X | L11109 | OR | Primary |
Addresses
Primary practice location
2355 State St Ste 101
Salem, OR 97301-4541
Mailing address
38880 Dexter Rd Ste 376
Dexter, OR 97431-9775
Other practice location 1
38880 Dexter Rd Ste 376
Dexter, OR 97431-9775
Phone (541) 972-3038
Other practice location 2
82087 Lost Creek Rd
Dexter, OR 97431-9783
Phone (541) 937-2437
Other practice location 3
2463 Lincoln St
Eugene, OR 97405-2611
Phone (541) 913-7014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L11109 | OR | MD | Clinical Social Worker |
| DEM-LD-10127927 | OR | MD | Lay Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668211200000",
"number": "1861726267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38880 DEXTER RD STE 376",
"city": "DEXTER",
"state": "OR",
"postal_code": "974319775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 STATE ST STE 101",
"city": "SALEM",
"state": "OR",
"postal_code": "973014541",
"telephone_number": "541-972-3830"
}
],
"practiceLocations": [
{
"address_1": "38880 Dexter Rd Ste 376",
"address_purpose": "LOCATION",
"city": "Dexter",
"state": "OR",
"postal_code": "974319775",
"country_code": "US",
"telephone_number": "541-972-3038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "82087 Lost Creek Rd",
"address_purpose": "LOCATION",
"city": "Dexter",
"state": "OR",
"postal_code": "974319783",
"country_code": "US",
"telephone_number": "541-937-2437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2463 Lincoln St",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974052611",
"country_code": "US",
"telephone_number": "541-913-7014",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BISNAIRE",
"first_name": "RENEE",
"credential": "MSW, LDM, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-01",
"last_updated": "2022-11-12",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": "OR",
"license": "DEM-LD-10127927",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L11109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.