MARILYNN L KEENAN (NPI# 1801978051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801978051 |
| Entity Type | Individual |
| Full Name | MARILYNN L KEENAN |
| Credential | LCSW |
| Practice Address |
906 Main Ave Tillamook OR 97141 |
| Practice Telephone | 5038428201 |
| Practice Fax Number | 5038151870 |
| Mailing Telephone | 5038428201 |
| Mailing Fax Number | 5038151870 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3477 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | PERSONAL MEDICARE | NA | 01 |
| OR | 164936 | 05 |
| Street Address |
906 MAIN AVE |
| City | TILLAMOOK |
| State | OR |
| Zip Code | 97141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144297615 | Debra M Torres | Registered Nurse | 906 Main Ave, Tillamook, OR 97141-3816 | 2006-03-03 |
| 1164077020 | Cassandra Persons | Peer Specialist | 906 Main Ave, Tillamook, OR 97141-3816 | 2019-08-07 |
| 1659930980 | Shannon Pullen | Peer Specialist | 906 Main Ave, Tillamook, OR 97141-3816 | 2019-06-11 |
| 1902465230 | Erin L Warbington | Registered Nurse | 906 Main Ave, Tillamook, OR 97141-3816 | 2019-06-11 |
| 1487127288 | Krystine Valle | Counselor | 906 Main Ave, Tillamook, OR 97141-3816 | 2019-01-04 |
| 1467937383 | Jamie Helene Villemonte | Counselor | 906 Main Ave, Tillamook, OR 97141-3816 | 2018-09-26 |
| 1851884092 | Patricia Rose Stein Decker | Counselor | 906 Main Ave, Tillamook, OR 97141-3816 | 2018-06-12 |
| 1033621370 | Kathy J Sias | Counselor | 906 Main Ave, Tillamook, OR 97141-3816 | 2017-10-26 |
| 1114443959 | Melonie Ferguson | Case Manager/Care Coordinator | 906 Main Ave, Tillamook, OR 97141-3816 | 2017-08-14 |
| 1306385505 | Tammy Hickman | Counselor | 906 Main Ave, Tillamook, OR 97141-3816 | 2017-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265062517 | Anna Cobarrubia | Health Educator | Tillamook Family Ymca, 610 Stillwell Ave., Tillamook, OR 97141 | 2020-01-24 |
| 1164066510 | Barbara Kay Shipman | Technician | 515 Laurel Ave., Tillamook, OR 97141 | 2019-10-29 |
| 1457848608 | Arnadene Vanebo | Dietitian, Registered | 801 Pacific Avenue, Tillamook, OR 97141 | 2018-04-13 |
| 1336339647 | Shirley Arneson | Nurse Practitioner | 1011 Third St, Bay Ocean Medical, PC, Tillamook, OR 97141 | 2007-08-01 |
| 1467595413 | County of Tillamook | Local Education Agency (LEA) | 6825 Officers Row, Tillamook, OR 97141 | 2007-02-15 |
| 1801998190 | Dave R Bizeau | Dentist | 2103 10th Street, Tillamook, OR 97141 | 2006-09-05 |
| 1134166481 | Cassandra Wolfson | Social Worker | 2507 Main Avenue N, Suite B, Tillamook, OR 97141 | 2006-06-02 |
| 1578535175 | Paul C Welch | Obstetrics & Gynecology | 1000 3rd Street, Tillamook, OR 97141 | 2006-02-07 |
| 1023514627 | Mehrdad Hairani | Dentist | 1010 Main Ave, Tillamook, OR 97141 | 2018-04-03 |
| 1467979609 | Karen Sheelar | Counselor | 801 Pacific Ave, Tillamook, OR 97141 | 2017-08-28 |
| Find all providers in zip 97141 | ||||
| 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 |
|---|---|---|---|---|
| 1619314689 | Patricia Ann Blondo | Social Worker | 115 Main Ave, Suite 6, Tillamook, OR 97141-2240 | 2013-05-30 |
| 1134166481 | Cassandra Wolfson | Social Worker | 2507 Main Avenue N, Suite B, Tillamook, OR 97141 | 2006-06-02 |
| 1538154992 | Jan L Bartlett | Social Worker | 312 Laurel Ave, Tillamook, OR 97141-2314 | 2005-09-13 |
| 1891174405 | Michelle Charlene Turner | Social Worker | 1000 3rd St, Tillamook, OR 97141-3430 | 2015-05-28 |
| 1538589940 | Patricia A. Blondo, LLC | Social Worker | 115 Main Street, Suite 6, Tillamook, OR 97141 | 2014-04-24 |
| 1316209208 | Holly M Riendeau | Social Worker | 906 Main Ave, Tillamook, OR 97141-3816 | 2012-06-15 |
| 1285932491 | Kimberlie Sue Miller | Social Worker | 906 Main Ave, Tillamook, OR 97141-3816 | 2011-03-11 |
| 1710219530 | Tami Rennels Waddell | Social Worker | 906 Main Ave, Tillamook, OR 97141-3816 | 2010-02-03 |
| 1083852305 | Steven Doug Larzelier | Social Worker | 906 Main Ave, Tillamook, OR 97141-3618 | 2009-01-23 |
| 1659556439 | Frances Marie Cumberledge | Social Worker | 906 Main Ave, Tillamook, OR 97141-3816 | 2007-12-30 |
| Find all providers in TILLAMOOK | ||||
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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.