MR. TRISTAN DAIMON ADRIAN (NPI# 1427567387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427567387 |
| Entity Type | Individual |
| Full Name | MR. TRISTAN DAIMON ADRIAN |
| Credential | MSW |
| Practice Address |
182 Sw Academy St Dallas OR 97338 |
| Mailing Address |
182 Sw Academy St Dallas OR 97338-1996 |
| Practice Telephone | 5036239289 |
| Mailing Telephone | 5036239289 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2020-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L8600 | OR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Market St, Suite 200, Lebanon, OR 97355, AA | 5414511581 | |
| 3941 N Clarey St, Eugene, OR 974029783 | 5707600703 |
| Street Address |
182 SW ACADEMY ST |
| City | DALLAS |
| State | OR |
| Zip Code | 97338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841308632 | Alfredo Jose Soto | Psychiatry & Neurology | 182 Sw Academy St, Suite 30, Dallas, OR 97338-1922 | 2006-08-29 |
| 1528669918 | Helen Canchola Martinez | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-11-03 |
| 1013525542 | Zachary Beeler | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-07-21 |
| 1376175398 | Theresa Ann Kollars | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-02-07 |
| 1346883071 | Heather Grandis | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-25 |
| 1154963320 | Tori A Geter | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-09 |
| 1801437231 | Maria Ross | Student in an Organized Health Care Education/Training Program | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-07 |
| 1144871096 | Kayli Peterson | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-09-23 |
| 1174170187 | Mikel-anne Devine | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-08-23 |
| 1699320440 | Kelli Diane Bennett | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
| 1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
| 1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
| 1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
| 1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
| 1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
| 1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
| 1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
| 1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
| 1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
| Find all providers in zip 97338 | ||||
| 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 |
|---|---|---|---|---|
| 1528667185 | Jordan Elaine Halloran | Social Worker | 333 E Greenbriar Ln Apt 1226, Dallas, TX 75203-1115 | 2020-10-23 |
| 1821605650 | Wilma Davis - Reconnecting Families | Social Worker | 6310 Humoresque Dr, Dallas, TX 75241-2614 | 2020-09-25 |
| 1255947578 | Catherine Sang | Social Worker | 6322 Bryan Pkwy, Dallas, TX 75214-4307 | 2020-09-22 |
| 1922617166 | Pamela Mandt | Social Worker | 4312 Potomac Ave, Dallas, TX 75205-2629 | 2020-07-23 |
| 1437774601 | Soturi Counseling and Consulting, Pllc | Social Worker | 8500 N Stemmons Fwy Ste 1000, Dallas, TX 75247-3898 | 2020-06-12 |
| 1093338758 | Sophia Azhar | Social Worker | 2400 Bennett Ave Apt 2122, Dallas, TX 75206-7195 | 2020-05-28 |
| 1982225827 | Kirstin Elizabeth Brown | Social Worker | 9631 Baseline Dr, Dallas, TX 75243-4509 | 2020-05-01 |
| 1942836390 | Jenny Mary Esparza | Social Worker | 2043 Chevella Dr, Dallas, TX 75232-4159 | 2020-03-18 |
| 1790310175 | Alexis Nicole Sikes | Social Worker | 8215 Westchester Dr Ste 145, Dallas, TX 75225-6109 | 2020-03-06 |
| 1679107494 | Julia Clare Rossini | Social Worker | 10588 Stone Canyon Rd Apt 151, Dallas, TX 75230-4416 | 2020-03-02 |
| Find all providers in DALLAS | ||||
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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.