Individual provider Active NPI

Valerie Warner Lanham, LICSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1003831801
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6351 Issued in OR
Practice address
10201 SE Main St Ste 29
Portland, OR 97216
Phone
(503) 261-4475
Fax
(503) 261-4476
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50078239 DC
Clinical Social Worker 1041C0700X L6351 OR Primary

Addresses

Primary practice location

10201 SE Main St Ste 29
Portland, OR 97216

Mailing address

10201 SE Main St Ste 29
Portland, OR 97216-2937
Phone (503) 261-4475

Other practice location 1

801 Pennsylvania Ave SE Ste 201
Washington, DC 20003-2152
Phone (202) 546-1512

Other practice location 2

801 Pennsylvania Ave SE Ste 201
Washington, DC 20003-2152
Phone (202) 546-1512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111004966 WA Practitioner - Clinical Social Worker 9830195940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIIAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1003831801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 SE MAIN ST STE 29",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162937",
            "telephone_number": "503-261-4475",
            "fax_number": "503-261-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 SE MAIN ST STE 29",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97216",
            "telephone_number": "503-261-4475",
            "fax_number": "503-261-4476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Pennsylvania Ave SE Ste 201",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200032152",
            "country_code": "US",
            "telephone_number": "202-546-1512",
            "fax_number": "202-544-5365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Pennsylvania Ave SE Ste 201",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200032152",
            "country_code": "US",
            "telephone_number": "202-546-1512",
            "fax_number": "202-544-5365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANHAM",
        "first_name": "VALERIE",
        "middle_name": "WARNER",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078239",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.