IndividualActive
Nicholas Sundstrom, LCSW
NPI 1467709907 · Clinical Social Worker · Sisters, OR
Provider details
- NPI number
- 1467709907
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- L4413 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
220 S Pine St Ste 102
Sisters, OR 97759-1670
Phone: (541) 903-5822
Street-level locationGet directions
Mailing address
220 S Pine St Ste 102
Sisters, OR 97759-1670
Additional practice locations (1)
- 7555 Falcon Crest DrRedmond, OR 97756-5022Phone: (541) 903-5822
Registry dates
- Enumerated
- 2012-08-14
- Last updated
- 2023-12-29
- Certified
- 2023-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.