David Stetson LCSW Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2106 Issued in OR

Legal business name

DAVID STETSON LCSW INC.

Practice address

548 SW 13TH St
Bend, OR 97702-3184

Phone

(541) 771-2324

NPI assigned

Feb 11, 2013

Organization subpart

No

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

Authorized official

Name

David Earl Stetson, LCSWNPI 1114125150

Title

President

Phone

(541) 771-2324

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Earl Stetson, LCSW

  • Clinical Social Worker
  • Bend, OR
  • NPI 1114125150
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1891034880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8475",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977088475",
            "telephone_number": "541-771-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 SW 13TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023184",
            "telephone_number": "541-771-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID STETSON LCSW INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "STETSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-771-2324",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "2106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Louise Davenport, LCSW
• Audrey H Davey, M.D.
• Jennifer Kay Davey, RN
• Matthew James Davey, M.D.
• David B. Redwine, M.D.,P.C.
• Abbey Davidson, CHW
• Mark W Davies, D.C.
• Kara Davis Faith, PAC
• Alyssa Davis
• Ashlee Davis, LPC

• Community/Behavioral Health Agency in Bend, OR
• Providers in Bend, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.