Active NPI
Shaylynne Danielle Kalberg, LCSW
- Clinical Social Worker
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L7853
- Practice address
- 360 SW Bond St Ste 330
Bend, OR 97702-3556 - Phone
- (541) 706-2768
- NPI assigned
- Feb 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L7853 | OR | Primary |
Addresses
Primary practice location
360 SW Bond St Ste 330
Bend, OR 97702-3556
Mailing address
22012 Sweetgrass Dr
Bend, OR 97702-9620
Phone (541) 749-0575
Other names 1
- Shaylynne Danielle Caito
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1253 NW Canal Blvd
Redmond, OR 97756-1334
Phone (541) 548-8131
360 SW Bond St
Suite 330
Bend, OR 97702-3556
Phone (541) 706-2768
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L7853 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Collaborative Healing and Integrative Therapy, LLC | Clinical | Current | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
2542 NE Courtney Dr
Bend, OR 97701
Phone (541) 322-2768
360 SW Bond St
Ste 330
Bend, OR 97702
Phone (541) 706-7730
1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131
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.
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
-
- Clinical Social Worker
- Bend, OR
- NPI 1255162657
-
- Rehabilitation Hospital Unit
- Bend, OR
- NPI 1154343150
-
- Rural Health Clinic/Center
- Prineville, OR
- NPI 1407178528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1972137875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22012 SWEETGRASS DR",
"city": "BEND",
"state": "OR",
"postal_code": "977029620",
"telephone_number": "541-749-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SW BOND ST STE 330",
"city": "BEND",
"state": "OR",
"postal_code": "977023556",
"telephone_number": "541-706-2768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALBERG",
"first_name": "SHAYLYNNE",
"middle_name": "DANIELLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-28",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L7853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAYLYNNE",
"last_name": "CAITO",
"middle_name": "DANIELLE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.