Individual provider Active NPI

Claudette Hastie Beahrs, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1003052333
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0537 Issued in OR
Practice address
3318 NE Hancock St
Portland, OR 97212-5123
Phone
(503) 249-7215
Fax
(503) 335-3444
NPI assigned
Dec 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0537 OR Primary

Addresses

Primary practice location

3318 NE Hancock St
Portland, OR 97212-5123

Mailing address

3318 NE Hancock St
Portland, OR 97212-5123
Phone (503) 249-7215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 22, 2018 through Aug 22, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0537ORMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1003052333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 NE HANCOCK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125123",
            "telephone_number": "503-249-7215",
            "fax_number": "503-335-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 NE HANCOCK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125123",
            "telephone_number": "503-249-7215",
            "fax_number": "503-335-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAHRS",
        "first_name": "CLAUDETTE",
        "middle_name": "HASTIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "0537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.