MR. MICHAEL FREDERICK CHASE (NPI# 1497891162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497891162 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL FREDERICK CHASE |
| Credential | LCSW |
| Practice Address |
2015 Ne 39th Ave Portland OR 97212-5305 |
| Mailing Address |
2104 Ne 45th Ave Portland OR 97213-1342 |
| Practice Telephone | 5034753527 |
| Mailing Telephone | 5034753527 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LW00007678 | WA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L3286 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306197 | Michael Owen Chase | Massage Therapist | 147 Teakwood Ln, San Antonio, TX 78216-6823 | 2020-08-11 |
| 1932378007 | Michael Ralph Chase | Pharmacist | 30 Main Rd W, Hazen, ND 58545 | 2008-02-22 |
| 1730749276 | Michael Edward Chase | Emergency Medicine | 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 | 2019-06-17 |
| 1447819289 | Michael George Chase | Physician Assistant | 761 Main Ave Ste 201, Norwalk, CT 06851-1176 | 2019-06-06 |
| 1124577804 | Michael Chase | Counselor | 833 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2016-09-23 |
| 1366859712 | Michael Chase | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2014-07-17 |
| 1265576987 | Michael Chase | Internal Medicine | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2007-02-16 |
| 1457423105 | Michael C Chase | Internal Medicine | 2 Bon Air Rd Ste 150, Larkspur, CA 94939-1142 | 2006-11-15 |
| 1821107988 | Michael Ray Chase | Counselor | 7011 Southwest Fwy, Houston, TX 77074-2007 | 2006-08-30 |
| 1205831658 | Michael Chase | Internal Medicine | 5 Irongate Ctr, Glens Falls, NY 12801-3471 | 2005-06-14 |
| Street Address |
2015 NE 39TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97212-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538398219 | Jonathan R Prue | Massage Therapist | 2015 Ne 39th Ave, Portland, OR 97212-5305 | 2009-07-02 |
| 1265572937 | Tim Charles Foulke | Nurse Practitioner | 2015 Ne 39th Ave, Portland, OR 97212-5305 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285191361 | Beliving Counseling and Consulting | Counselor | 311 Ne Russell Street, #211, Portland, OR 97212 | 2019-02-26 |
| 1497223051 | Shira Dennis | Behavioral Analyst | 3424 Ne Tillamook St., Portland, OR 97212 | 2018-11-12 |
| 1659890317 | Cidnee Potter | Doula | 2915 Ne Mlk Jr Blvd, Portland, OR 97212 | 2017-09-14 |
| 1588194187 | Ann M Staple | Counselor | 2905 Ne Tillamook St, Portland, OR 97212 | 2017-06-15 |
| 1780129502 | Noelle Denise King | Naturopath | 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 | 2017-01-03 |
| 1285085100 | Jessica Battin | Massage Therapist | 2310 Ne 8th Ave #2, Portland, OR 97212 | 2016-06-22 |
| 1316311830 | Dr Elise Schroeder | Clinic/Center | 3531 Ne 15th Ave Suite A, Portland, OR 97212 | 2015-11-20 |
| 1467820738 | Ayanna Askari | Counselor | 3655 N E Grand Ave, Portland, OR 97212 | 2015-09-03 |
| 1053797167 | Iliana Henriquez | Social Worker | 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 | 2015-07-31 |
| 1417346834 | Emily Mcdonough Comerford | Case Manager/Care Coordinator | 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 | 2015-01-22 |
| Find all providers in zip 97212 | ||||
| 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.