MR. MATTHEW VINSON (NPI# 1366713075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366713075 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW VINSON |
| Credential | MSW, LCSW, CADC III |
| Practice Address |
1009 Nw Spruce Ave Redmond OR 97756-1212 |
| Practice Telephone | 5418919841 |
| Mailing Telephone | 5418919841 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2019-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16-05-19 | OR | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
L7785 | OR | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7785 | OR | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500657181 | 05 | |
| OR | 500714484 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 465 N Laguna St, Klamath Falls, OR 976012347 | 5418919841 | 5412054330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710902259 | Matthew Joseph Vinson | Chiropractor | 1305 N Willow Ave, Suite 160, Clovis, CA 93619-4867 | 2006-07-13 |
| 1740783596 | Matthew Jacob Vinson | Internal Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2018-03-16 |
| Street Address |
1009 NW SPRUCE AVE |
| City | REDMOND |
| State | OR |
| Zip Code | 97756-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
| 1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
| 1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
| 1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
| 1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| 1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
| 1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
| Find all providers in zip 97756 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104385418 | La Li | Social Worker | 11752 163rd Pl Ne, Redmond, WA 98052-2395 | 2019-03-16 |
| 1114416120 | Rachel Marie Duthler | Social Worker | 16307 Ne 83rd St Ste 204, Redmond, WA 98052-3867 | 2018-05-04 |
| 1720513799 | Marcy Feinstein | Social Worker | 15600 Redmond Way Ste 202, Redmond, WA 98052-3862 | 2017-04-26 |
| 1972046951 | Rachel Wilberger | Social Worker | 16501 Ne 33rd Ct Apt Yy101, Redmond, WA 98052-9377 | 2016-11-23 |
| 1689035891 | Shauna Mcdonough | Social Worker | 2659 Sw 4th St, Suite 102, Redmond, OR 97756-6406 | 2016-03-15 |
| 1881052009 | Katie Brobeck | Social Worker | 7515 Falcon Crest Dr # 200, Redmond, OR 97756-5014 | 2016-02-02 |
| 1770951287 | Ellen Bovarnick | Social Worker | 24445 Ne Vine Maple Way, Redmond, WA 98053-5677 | 2015-09-14 |
| 1700216439 | Kathleen Kaiser | Social Worker | 7981 168th Ave Ne Ste 224, Redmond, WA 98052-0911 | 2013-11-15 |
| 1780018309 | Marisa Calvert | Social Worker | 2250 Sw 21st St Apt 23, Redmond, OR 97756-1825 | 2013-08-30 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| Find all providers in REDMOND | ||||
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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.