NICK SUNDSTROM LLC
NPI 1033613815
Social Worker - Clinical in Redmond, OR

Active since March 19, 2018
2659 SW 4TH ST STE 110, REDMOND, OR 97756(541) 647-7820 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2018, Sep 17, 2018, May 8, 2018 and 1 more (4 updates tracked since 2018).

About Nick Sundstrom Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICK SUNDSTROM LLC (NPI 1033613815) is a healthcare organization registered as a clinical in Redmond, Oregon and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Redmond and lists Nicholas Eric Sundstrom, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1033613815
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameNICK SUNDSTROM LLC
Location Address2659 SW 4TH ST STE 110Redmond, OR 97756
Mailing Address2659 Sw 4th St Ste 110Redmond, OR 97756-6406 · (541) 647-7820
Organization SubpartNo
Authorized OfficialNicholas Eric SundstromOwner/provider · (541) 647-7820
Enumeration DateMarch 19, 2018
Last NPPES UpdateOctober 5, 20184 updates tracked since enumeration
NPI 1033613815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 4413 (OR)
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 4413 (OR)
2659 SW 4TH ST STE 110, Redmond, OR 97756

Secondary Practice Location 1

Location 13659 SW 4th, #110Redmond, OR 97756 · Phone (541) 903-5822

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
2659 SW 4TH ST STE 110
REDMOND, OR 97756
Counselor
2659 SW 4TH ST STE 110
REDMOND, OR 97756

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nick Sundstrom LLC's NPI number?

The NPI number for Nick Sundstrom LLC is 1033613815. It was assigned to this organization in the NPPES registry on March 19, 2018.

Where is Nick Sundstrom LLC located?

Nick Sundstrom LLC is located at 2659 SW 4th St Ste 110, Redmond, OR 97756. The listed phone number is (541) 647-7820.

What is Nick Sundstrom LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Nick Sundstrom LLC was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.