JUDE WALSH (NPI# 1114190808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114190808 |
| Entity Type | Individual |
| Full Name | JUDE WALSH |
| Practice Address |
425 N Santiam Hwy Lebanon OR 97355-4361 |
| Mailing Address |
Po Box 1193 Corvallis OR 97339-1193 |
| Practice Telephone | 5414516960 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 104100000X | Social Worker | L7544 | OR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2055 Garrett Way, Ste 1, Pocatello, ID 832015100 | 2082361600 | 2082366695 |
| Street Address |
425 N SANTIAM HWY |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-4361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356380208 | Marylou L. Belozer | Family Medicine | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2006-06-06 |
| 1912472143 | Russell Matthew Wimmer | Physician Assistant | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2018-10-03 |
| 1619328556 | Kye Sinclair Dixson | Physician Assistant | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2016-06-22 |
| 1003225525 | Heidi Lee Grimes | Nurse Practitioner | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2014-08-08 |
| 1124430459 | Kathryn Bachman | Family Medicine | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2014-05-21 |
| 1821409731 | David Simmons | Family Medicine | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2014-05-13 |
| 1083966436 | Laura E Sisson | Psychologist | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2012-10-10 |
| 1245595180 | Mid-valley Healthcare, Inc. | Urology | 425 N Santiam Hwy, Suite 2a, Lebanon, OR 97355-4361 | 2012-07-06 |
| 1891059135 | Mid-valley Healthcare, Inc. | Internal Medicine | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2012-07-02 |
| 1972869121 | Mid-valley Healthcare, Inc. | Family Medicine | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2012-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| Find all providers in zip 97355 | ||||
| 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 |
|---|---|---|---|---|
| 1265948624 | Hannah Elizabeth Rolf | Social Worker | 713 Holbrook Ave Apt A, Lebanon, OH 45036-2094 | 2017-12-21 |
| 1285176032 | Leah Michelle Sandlin | Social Worker | 218 S Mechanic St, Lebanon, OH 45036-2212 | 2016-11-10 |
| 1275902686 | Robbie Hayter | Social Worker | 3317 Franklin Rd, Lebanon, TN 37090-8065 | 2015-09-16 |
| 1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
| 1053721522 | Kimberly Dawn Sellers | Social Worker | 212 N Broadway St, Suite 7, Lebanon, OH 45036-2736 | 2014-05-05 |
| 1760821276 | Whitney Renee Rojas | Social Worker | 125 Lakeshore Dr., Lebanon, IN 46052-3100 | 2013-06-18 |
| 1609147610 | Abbey Endicott | Social Worker | 387 Locust Forge Ln, Lebanon, OH 45036-7604 | 2012-01-23 |
| 1306120480 | Melissa Kay Molter | Social Worker | 727 W Washington St, Lebanon, IN 46052-2064 | 2011-10-06 |
| 1861650798 | Whitney T Brown | Social Worker | 1614 N Lebanon St Ste 2, Lebanon, IN 46052-1514 | 2008-05-28 |
| 1447417134 | Nikki K Barnes | Social Worker | 515 W Camp St, Lebanon, IN 46052-1648 | 2008-05-20 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on JUDE WALSH.
| 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.