NORTHWEST FAMILY SERVICES (NPI# 1275695934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275695934 |
| Entity Type | Organization |
| Organization Name | NORTHWEST FAMILY SERVICES |
| Practice Address |
6200 Se King Rd Portland OR 97222-2891 |
| Practice Telephone | 5035466377 |
| Practice Fax Number | 5035469397 |
| Mailing Telephone | 5035466377 |
| Mailing Fax Number | 5035469397 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2013-02-05 |
| Authorized Official Name | ROSE FULLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5035466377 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083149215 | Northwest Family Services | Community/Behavioral Health | 6200 Se King Rd, Portland, OR 97222-2891 | 2017-04-25 |
| 1023476710 | Northwest Family Services | Peer Specialist | 6200 Se King Rd, Portland, OR 97222-2891 | 2016-02-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHWEST FAMILY SERVICES | 6200 Se King Rd, Portland, OR 97222-2891 |
| Oregon Corporations, Companies and Business Names | NORTHWEST FAMILY SERVICES | 6200 Se King Rd, Portland, OR 97222 |
| System for Award Management (SAM) Entities | NORTHWEST FAMILY SERVICES DDA FAMILY RESOURCE CENTERS | 530 S Main St, Lima, OH 45804-1240 |
| Street Address |
6200 SE KING RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97222-2891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215958 | Kennedy Cheyenne Benitez | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2020-11-05 |
| 1508498908 | Brian Bracelin | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2020-02-04 |
| 1558905562 | Chantelle Volk | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2019-11-01 |
| 1992352538 | Terence Kennedy | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2019-08-19 |
| 1619521887 | Jonathan Boisvert | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2019-07-26 |
| 1689148926 | Ravin Brown | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2019-01-21 |
| 1184119315 | Josefina Wendy Acevedo-giles | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2018-06-29 |
| 1134626831 | Liliana Acosta | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2018-04-09 |
| 1417465451 | Katelyn Cushman | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2018-01-11 |
| 1003324146 | Emily Streeter | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2018-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in PORTLAND | ||||
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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.