MANDY LEE KWAISER (NPI# 1750780268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750780268 |
| Entity Type | Individual |
| Full Name | MANDY LEE KWAISER |
| Credential | B.S. |
| Practice Address |
365 Ne Court St Prineville OR 97754-1936 |
| Practice Telephone | 5413235330 |
| Practice Fax Number | 5414476694 |
| Mailing Telephone | 5413235330 |
| Mailing Fax Number | 5414476694 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 283234 | 05 |
| Street Address |
365 NE COURT ST |
| City | PRINEVILLE |
| State | OR |
| Zip Code | 97754-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952450249 | Ogilvia Pineda | Counselor | 365 Ne Court St, Prineville, OR 97754-1936 | 2007-01-09 |
| 1013456524 | Terri Lee Mcbride | Registered Nurse | 365 Ne Court St, Prineville, OR 97754-1936 | 2017-02-16 |
| 1366892390 | Shelley Renee Hood | Peer Specialist | 365 Ne Court St, Prineville, OR 97754-1936 | 2016-06-21 |
| 1225418585 | Robert Prentice | Counselor | 365 Ne Court St, Prineville, OR 97754-1936 | 2015-06-02 |
| 1073905410 | Terri J Armstrong | Counselor | 365 Ne Court St, Prineville, OR 97754-1936 | 2015-02-23 |
| 1093118903 | Sharon Bitz | Counselor | 365 Ne Court St, Prineville, OR 97754-1936 | 2014-10-06 |
| 1457765299 | Jennifer O'keefe | Counselor | 365 Ne Court St, Prineville, OR 97754-1936 | 2014-06-19 |
| 1780098764 | Ryan Smith | Counselor | 365 Ne Court St, Prineville, OR 97754-1936 | 2014-06-17 |
| 1588078570 | Alicia Winchester-jantz | Counselor | 365 Ne Court St, Prineville, OR 97754-1936 | 2014-06-17 |
| 1417360520 | Tiffany Boyum | Social Worker | 365 Ne Court St, Prineville, OR 97754-1936 | 2014-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246290 | Phyllis Louise Young | Physical Therapy Assistant | 350 Ne Brennan Ln, Prineville, OR 97754 | 2018-08-22 |
| 1316424518 | Monte Bainbridge | Counselor | 1103 Ne Elm St Ste B, Prineville, OR 97754 | 2018-07-20 |
| 1841739760 | Gregory Wayne Sanders | Marriage & Family Therapist | 445 Nw 3rd Street, Prineville, OR 97754 | 2017-02-13 |
| 1114474962 | Amy R Duryea | Counselor | 1103 Ne Elm St., Prineville, OR 97754 | 2016-09-08 |
| 1669855052 | Rebecca L Griffith | Mechanotherapist | 298 N Holly St, Prineville, OR 97754 | 2015-07-02 |
| 1376810838 | Jessica Lynn Neely | Counselor | 1333 Nw 9th Street, Prineville, OR 97754 | 2011-11-28 |
| 1205076130 | Dean Arthur Laney | Registered Nurse | 375 Nw Beaver St., Suite 100, Prineville, OR 97754 | 2009-03-05 |
| 1699910513 | Ross E Weakley | Acupuncturist | 298 Sw Harwood, Prineville, OR 97754 | 2008-12-05 |
| 1326208752 | Laura Danielle Gratton | Family Medicine | 975 Nw Beaver Street, Prineville, OR 97754 | 2008-06-10 |
| 1811174550 | Central Oregon Eyecare, PC | Optometrist | 198 Ne Combs Flat Rd, Ste 120, Prineville, OR 97754 | 2008-01-24 |
| Find all providers in zip 97754 | ||||
| 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 |
|---|---|---|---|---|
| 1497398317 | Amanda Lynn Sandoval | Social Worker | 1103 Ne Elm St, Prineville, OR 97754-1664 | 2019-10-23 |
| 1295104057 | Karianne Clark | Social Worker | 1251 Ne Elm St, Prineville, OR 97754-1206 | 2015-09-22 |
| 1417360520 | Tiffany Boyum | Social Worker | 365 Ne Court St, Prineville, OR 97754-1936 | 2014-06-05 |
| 1134550221 | Karen Kay Bones | Social Worker | 365 Ne Court St, Prineville, OR 97754-1936 | 2013-11-27 |
| 1073654596 | Megan Theresa Ossinger | Social Worker | 203 Ne Court St, Prineville, OR 97754-1935 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980389 | Shayla Lee Adkins | Social Worker | 5530 Se 72nd Ave, Portland, OR 97206-5207 | 2020-10-24 |
| 1942817028 | Naomi Kramer | Social Worker | 3970 University St, Eugene, OR 97405-4624 | 2020-09-23 |
| 1467068999 | Kelly Ross Goodwin | Social Worker | 2542 Ne Courtney Dr Ste 101, Bend, OR 97701-7685 | 2020-09-21 |
| 1245844141 | Dane Hilts | Social Worker | 5524 Se Hawthorne Blvd, Portland, OR 97215-3368 | 2020-09-08 |
| 1336757368 | Julie Durst | Social Worker | 142 Belle Ct, Oregon City, OR 97045-3602 | 2020-07-15 |
| 1073131462 | Corinne J Allen | Social Worker | 14678 Nw Cornell Rd Apt 52, Portland, OR 97229-7407 | 2020-07-11 |
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1376168906 | Connor Brown | Social Worker | 738 Ne Davis St, Portland, OR 97232-2931 | 2020-06-09 |
| 1023637428 | Timothy Lawrence Walkley | Social Worker | 211 N Garfield St, Newberg, OR 97132-2701 | 2020-04-15 |
| 1770110041 | Oriana Korol | Social Worker | 811 Ne 92nd Ave, Portland, OR 97220-4513 | 2020-03-25 |
| Find all providers with the same taxonomy | ||||
| City | PRINEVILLE |
| Zip Code | 97754 |
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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.