Active NPI
Valerie Warner Lanham, LICSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1003831801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L6351
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- 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.
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- Vancouver, WA
- NPI 1407828114
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.