NEISHA CALDWELL


Address: 1410 Ne 106th Ave, Portland, OR 97220-3934
Phone: 5034600405

NEISHA CALDWELL (NPI# 1891128005) 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) 1891128005
Entity Type Individual
Full Name NEISHA CALDWELL
Credential LCSW
Practice Address 1410 Ne 106th Ave
Portland
OR 97220-3934
Mailing Address 8007 Se Otty St
Milwaukie
OR 97222-1073
Practice Telephone 5034600405
Mailing Telephone 5038754836
Enumeration Date 2013-08-12
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
L7563 OR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 1548330715 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2104 Se Morrison St, Portland, OR 972142825 5038754836

Office Location

Street Address 1410 NE 106TH AVE
City PORTLAND
State OR
Zip Code 97220-3934

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316017585 Theresa Bunker Nurse Practitioner 1410 Ne 106th Ave, Portland, OR 97220-3934 2006-11-08
1558975151 Amber Rae Oyama Clinic/Center 1410 Ne 106th Ave, Portland, OR 97220-3934 2020-09-02
1912540980 Kyle Edward Anderson Nurse Practitioner 1410 Ne 106th Ave, Portland, OR 97220-3934 2019-10-23
1598316572 Trevor Scott Rachko Nurse Practitioner 1410 Ne 106th Ave, Portland, OR 97220-3934 2019-09-22
1801449301 Eva Cicilian Registered Nurse 1410 Ne 106th Ave, Portland, OR 97220-3934 2019-07-23
1659622454 Elizabeth Jane Sadock Psychologist 1410 Ne 106th Ave, Portland, OR 97220-3934 2012-09-20
1366751638 Brittany Lyn Kolluru Naturopath 1410 Ne 106th Ave, Portland, OR 97220-3934 2010-10-04
1659604825 Marti L Baird Nurse Practitioner 1410 Ne 106th Ave, Portland, OR 97220-3934 2009-09-04
1164576617 Gwyneth Theresa Jones Nurse Practitioner 1410 Ne 106th Ave, Portland, OR 97220-3934 2007-01-22
1548330715 Bridge City Family Medical Clinic, PC Clinic/Center 1410 Ne 106th Ave, Portland, OR 97220-3934 2006-11-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316569254 Debra Shamblin Behavioral Analyst 150 Ne 100th Ave, Portland, OR 97220 2020-05-14
1336780618 Joan Lambert Technician 2802 Ne 108th Avenue, Portland, OR 97220 2019-10-08
1750933917 Multnomah County Clinic/Center 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 2019-07-09
1194223107 Landmark Connect of Oregon PC General Practice 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 2018-01-24
1487178711 Andrew Shonk Massage Therapist 163 Ne 102nd Ave Blid V, Portland, OR 97220 2017-07-28
1548781693 Greater New Hope Family Services Lodging 11868 Ne Sandy Blvd, Portland, OR 97220 2017-06-29
1245771740 Maria Teresa Banez Salcedo Registered Nurse 10300 Ne Hancock Street, Portland, OR 97220 2017-03-16
1568901858 Christopher Gabriel Lyons Adult Companion 1343 Ne 118 Ave. Apt5, Portland, OR 97220 2017-02-20
1962945956 Linda Ann Oldenburg Registered Nurse 9515 Ne Skidmore Avenue, Portland, OR 97220 2016-11-23
1326493446 Trent D. Wilson Massage Therapist 8401 Ne Halsey St., Suite 101, Portland, OR 97220 2016-04-26
Find all providers in zip 97220

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
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97220

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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