STACY POTTER (NPI# 1396351367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396351367 |
| Entity Type | Individual |
| Full Name | STACY POTTER |
| Practice Address |
1750 Mcgilchrist St Se Salem OR 97302-1691 |
| Mailing Address |
1156 Manzanita Way Ne Keizer OR 97303-3545 |
| Practice Telephone | 9713042200 |
| Mailing Telephone | 5039693079 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | A5837 | OR | Behavioral Health & Social Service Providers |
| Street Address |
1750 MCGILCHRIST ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-1691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376581371 | Portland Vamc | Clinic/Center | 1750 Mcgilchrist St Se, Suite 130, Salem, OR 97302-1691 | 2006-06-02 |
| 1861054769 | Chau Bui | Optometrist | 1750 Mcgilchrist St Se, Salem, OR 97302-1691 | 2019-07-01 |
| 1619534039 | Katie Mersinger | Dietitian, Registered | 1750 Mcgilchrist St Se, Salem, OR 97302-1691 | 2019-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142586 | Alison Arno | Social Worker | 194 Essex St, Salem, MA 01970-3705 | 2019-12-30 |
| 1770134504 | Tonya Cash | Social Worker | 1150 Barnes Ave Se Apt 209, Salem, OR 97306-3555 | 2019-09-23 |
| 1659920411 | Jessica Cooney | Social Worker | 35 Congress St Ste 150b, Salem, MA 01970-5529 | 2019-09-05 |
| 1295392736 | Melissa M Rutstein | Social Worker | 98 Washington Sq Unit 1, Salem, MA 01970-4023 | 2019-05-21 |
| 1417513235 | James Matthew Conway | Social Worker | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| 1407339658 | Ellen Galligan | Social Worker | 22 Cleveland Rd, Salem, MA 01970-4415 | 2018-09-13 |
| 1235611583 | Alfonso A Perillo | Social Worker | 11 Woodbury Ct, Salem, MA 01970-3910 | 2018-09-04 |
| 1962980375 | Maeve O'connor | Social Worker | 1 Salem Grn Ste 408, Salem, MA 01970-3790 | 2018-07-30 |
| 1356829709 | Gail Haidet Mccarthy | Social Worker | 139 North St Unit 1, Salem, MA 01970-2541 | 2018-07-29 |
| 1235630336 | Corey John Reeves | Social Worker | 35 Congress Street, Bldg 2, First Floor, Suite 2150, Salem, MA 01970 | 2018-02-23 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.