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KRISTIN MATHES CLINICAL MENTAL HEALTH
NPI 1700612934
Social Worker - Clinical in Bend, OR

Active since September 12, 2024
1622 NW AWBREY RD, BEND, OR 97703(920) 286-2316 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristin Mathes Clinical Mental Health NPPES

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

KRISTIN MATHES CLINICAL MENTAL HEALTH (NPI 1700612934), doing business as Emerge Surf And Somatic Therapy, is a healthcare organization registered as a clinical in Bend, Oregon and active in the NPI registry since September 2024. The organization lists Kristin Marie Mathes, Owner, as its authorized official.

NPPES Registry Identity

NPI1700612934
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKRISTIN MATHES CLINICAL MENTAL HEALTH
Location Address1622 NW AWBREY RDBend, OR 97703-1833
Mailing Address70 Sw Century Dr, Set 100 Pmb 5040Bend, OR 97702 · (920) 286-2316
Phone(920) 286-2316
Organization SubpartNo
Authorized OfficialKristin Marie MathesOwner · (920) 286-2316
Enumeration DateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
✔ NPI 1700612934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1622 NW AWBREY RD, Bend, OR 97703
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Other Names 1

Doing Business AsEmerge Surf And Somatic Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kristin Mathes Clinical Mental Health's NPI number?

The NPI number for Kristin Mathes Clinical Mental Health is 1700612934. It was assigned to this organization in the NPPES registry on September 12, 2024. The provider is doing business as Emerge Surf and Somatic Therapy.

Where is Kristin Mathes Clinical Mental Health located?

Kristin Mathes Clinical Mental Health is located at 1622 NW Awbrey Rd, Bend, OR 97703. The listed phone number is (920) 286-2316.

What is Kristin Mathes Clinical Mental Health'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 Kristin Mathes Clinical Mental Health was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.