IVY ROSE CARDILLO


Address: 1904 Se Division St, Portland, OR 97202-1146
Phone: 5035178663

IVY ROSE CARDILLO (NPI# 1093297814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093297814
Entity Type Individual
Full Name IVY ROSE CARDILLO
Practice Address 1904 Se Division St
Portland
OR 97202-1146
Practice Telephone 5035178663
Mailing Telephone 5035178663
Enumeration Date 2018-08-29
Last Update Date 2018-08-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 1904 SE DIVISION ST
City PORTLAND
State OR
Zip Code 97202-1146

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356480115 Jonathan Douglas Dahl Counselor 1904 Se Division St, Portland, OR 97202-1146 2007-02-06
1063010809 Ellie Cornett Counselor 1904 Se Division St, Portland, OR 97202-1146 2020-10-14
1154928315 Pamela Rosen Social Worker 1904 Se Division St, Portland, OR 97202-1146 2020-10-01
1962019307 Varonica L Koon Social Worker 1904 Se Division St, Portland, OR 97202-1146 2020-09-29
1417561903 Cynee Godshall Counselor 1904 Se Division St, Portland, OR 97202-1146 2020-09-02
1568076198 Amy D'light Zimmerman Counselor 1904 Se Division St, Portland, OR 97202-1146 2020-09-01
1750922563 Beatrice Rose Trussell Counselor 1904 Se Division St, Portland, OR 97202-1146 2019-10-02
1164063954 Kaitlin Elizabeth Park Counselor 1904 Se Division St, Portland, OR 97202-1146 2019-10-02
1154962975 Breanna Dees Counselor 1904 Se Division St, Portland, OR 97202-1146 2019-10-02
1184275539 Terri Taylor Hammond Counselor 1904 Se Division St, Portland, OR 97202-1146 2019-09-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073143442 Carewell LLC Counselor Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 2020-01-24
1588226765 Melissa Lynn Hartley Counselor 1235 Se Division St. Suite 103, Portland, OR 97202 2019-07-08
1275192999 Kimberly Rae Kilgore Counselor 5509 Se 22nd St #3a, Portland, OR 97202 2019-06-06
1639736069 Kyra Steinhauer Social Worker 3145 Se Powell Blvd, Portland, OR 97202 2019-05-21
1134644321 Bridgette Hennigsen Social Worker 3810 Se 11th Ave, Portland, OR 97202 2017-08-08
1558895789 Lenore Cangeloso Acupuncturist 1235 Se Division Street, Suie 117, Portland, OR 97202 2017-04-14
1376099093 Anna Christine Leclerc Contractor 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 2016-09-01
1144684663 Catholic Charities Case Management 2740 Se Powell Blvd., Portland, OR 97202 2016-04-11
1881082097 Zoomcare Dental, P.C. Dentist 3130 Se Division Street, Building 2, Portland, OR 97202 2014-12-23
1124424700 Jessica Nash Counselor 6411 Se 17th Ave, Portland, OR 97202 2014-11-10
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063012649 Kathleen Russell Social Worker 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 2020-10-31
1275131534 Alice Hacker Social Worker 14702 Se Rhone St, Portland, OR 97236-2557 2020-10-09
1598372070 Kristin Elizabeth Hajny Social Worker 9343 Sw Camille Ter, Portland, OR 97223-7042 2020-09-28
1821605759 Melanie Smith Social Worker 4210 N Juneau St, Portland, OR 97203-2063 2020-09-24
1871100867 Purely Spirit Holistic Health, LLC Social Worker 226 Stevens Ave Apt 9, Portland, ME 04102-2263 2020-09-24
1023624780 Flourish Counseling and Consulting LLC Social Worker 8401 Ne Halsey St Ste 107, Portland, OR 97220-5670 2020-09-18
1245845130 Crescent Psychotherapy Social Worker 168 Neal St, Portland, ME 04102-3343 2020-09-09
1861007676 Yvonne Recchia Social Worker 5257 Ne Mlk, Portland, OR 97211-3282 2020-09-09
1447864327 Gordon Keepers Social Worker 3181 Sw Sam Jackson Park Rd # Uhs8-l, Portland, OR 97239-3098 2020-09-08
1609484187 Julie Pratt Social Worker 14 Culver Ln, Portland, CT 06480-1323 2020-07-21
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Competitor

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City PORTLAND
Zip Code 97202

Improve Information

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Dataset Information

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.

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