Individual provider Active NPI

Daniel Bedell, LCSW

  • Clinical Social Worker
  • Hillsboro, OR
National Provider Identifier
1912676255
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
7529 SE Tualatin Valley Hwy
Hillsboro, OR 97123-8252
Phone
(503) 681-4240
Fax
(503) 681-4241
NPI assigned
Sep 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

7529 SE Tualatin Valley Hwy
Hillsboro, OR 97123-8252

Mailing address

1400 SW 5TH Ave Ste 500
Portland, OR 97201-5537

Other practice location 1

7916 SE Foster Rd Ste 201
Portland, OR 97206-4289
Phone (503) 290-8850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250224003470 OR Practitioner - Clinical Social Worker 5395265102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Medical Group LLC CurrentSince Jan 15, 2025 Accepting new patients
Bridges to Change Mental Health CurrentSince Oct 22, 2023 Accepting new patients
Tuality Medical Group LLC CurrentSince Jan 15, 2025 Accepting new patients
Bridges to Change PastSince Sep 1, 2021 Accepting new patients

Locations

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

1400 SW 5th Ave
Ste 500
Portland, OR 97201

7916 SE Foster Rd
Ste 201
Portland, OR 97206
Phone (503) 290-8850

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bridgestochange/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1912676255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SW 5TH AVE STE 500",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7529 SE TUALATIN VALLEY HWY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971238252",
            "telephone_number": "503-681-4240",
            "fax_number": "503-681-4241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7916 SE Foster Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972064289",
            "country_code": "US",
            "telephone_number": "503-290-8850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDELL",
        "first_name": "DANIEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.