KELLY NOELLE EILERT


Address: 929 Sw Simpson Ave Ste 300, Bend, OR 97702
Phone: 5413897741

KELLY NOELLE EILERT (NPI# 1740578194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740578194
Entity Type Individual
Full Name KELLY NOELLE EILERT
Credential LCSW
Practice Address 929 Sw Simpson Ave Ste 300
Bend
OR 97702
Mailing Address 929 Sw Simpson Ave Ste 300
Bend
OR 97702-3599
Practice Telephone 5413897741
Practice Fax Number 5412788375
Mailing Telephone 5413897741
Mailing Fax Number 5412788375
Enumeration Date 2011-07-19
Last Update Date 2019-01-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
L7827 OR Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
73895 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4995 Murphy Canyon Rd, #204, San Diego, CA 921234364 6192768112

Office Location

Street Address 929 SW SIMPSON AVE STE 300
City BEND
State OR
Zip Code 97702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124092051 Michael C Widmer Internal Medicine 929 Sw Simpson Ave Ste 300, Bend, OR 97702 2006-02-15
1538666268 Eric Luther Sorenson Physician Assistant 929 Sw Simpson Ave Ste 300, Bend, OR 97702-3599 2018-04-10
1407296361 Ashley Mcclary Obstetrics & Gynecology 929 Sw Simpson Ave Ste 300, Bend, OR 97702-3599 2013-06-25
1013296490 Marie Casselberry Agnew Nurse Practitioner 929 Sw Simpson Ave Ste 300, Bend, OR 97702-3599 2011-08-16
1720251291 Monica Ellen Rau Ramsey Internal Medicine 929 Sw Simpson Ave Ste 300, Bend, OR 97702-3599 2008-04-07
1861673667 John Patrick Ramsey Internal Medicine 929 Sw Simpson Ave Ste 300, Bend, OR 97702 2007-11-20
1699827840 Jason Prinster Psychologist 929 Sw Simpson Ave Ste 300, Bend, OR 97702 2007-01-17
1841228228 Gary Allen Levinson Psychiatry & Neurology 929 Sw Simpson Ave Ste 300, Bend, OR 97702 2006-06-28
1568438836 Ann Bridget Bird Obstetrics & Gynecology 929 Sw Simpson Ave Ste 300, Bend, OR 97702-3599 2006-02-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629676259 Amy Michelle Anderson Counselor 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 2020-10-15
1386259463 Jacob Rehder Counselor 19717 Mt Batchelor Dr, #226, Bend, OR 97702 2020-09-15
1497385215 Capacity Performance Therapy Physical Medicine & Rehabilitation 61125 Lodgepole Dr., Bend, OR 97702 2020-01-21
1962041707 Shift Bend Functional Medicine Family Medicine 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 2019-12-26
1609435049 Praxis Medical Group Inc Orthopaedic Surgery 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 2019-06-10
1013485754 Elana Leah Pesah Social Worker 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 2018-11-12
1104303239 Kyleigh Mcvey Massage Therapist 999 Sw Disk Dr, Bend, OR 97702 2018-07-21
1477042869 Siloe Castaneda Huerta Counselor 1340 Nw Wall, Bend, Or, Bend, OR 97702 2018-05-02
1164910808 Rebecca M Joyce Social Worker 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 2018-04-27
1093217978 Jennifer Bury Acupuncturist 296 Sw Columbia St Ste D1, Bend, OR 97702 2018-03-06
Find all providers in zip 97702

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356942015 Cynthia Stidd, Lcsw, LLC Social Worker 60831 Windsor Dr, Bend, OR 97702-9502 2020-11-07
1790384238 Amy R Duryea Lcsw LLC Social Worker 3108 Ne Elizabeth Ct, Bend, OR 97701-7600 2020-10-24
1780295287 Elizabeth Blackwood Social Worker 1005 Sw Disk Dr Ste 104, Bend, OR 97702-3385 2020-08-10
1396355889 Xela Goodman Social Worker 2225 Ne Indigo Ln, Bend, OR 97701-6731 2020-08-09
1457975872 Noonday Counseling and Wellness Social Worker 750 Charbonneau Ste 207, Bend, OR 97703-7047 2020-06-01
1083254676 Nourish Lactation Social Worker 19334 Mohawk Rd, Bend, OR 97702-8908 2020-01-10
1982245734 Hannah Wadsworth Social Worker 1900 Ne Division St Ste 108, Bend, OR 97701-3526 2019-10-02
1710528989 Connie J Kersenbrock, Lcsw Social Worker 300 Se Reed Market Rd Ste 110, Bend, OR 97702-2237 2019-09-30
1265085625 Rachel L Frank LLC Social Worker 20766 Ne Sierra Dr, Bend, OR 97701-7174 2019-07-24
1366008856 Sarah Elizabeth Peterson Social Worker 19795 Village Office Ct, Bend, OR 97702-1922 2019-05-10
Find all providers in BEND

Competitor

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City BEND
Zip Code 97702

Improve Information

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Dataset Information

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.

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