Individual provider Active NPI

Joan E Starker, MSW PHD

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1043318702
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00177 Issued in OR
Practice address
10175 SW Barbur Blvd
Suite 300B-a
Portland, OR 97219-5908
Phone
(503) 246-7332
Fax
(503) 246-4048
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 00177 OR Primary

Addresses

Primary practice location

10175 SW Barbur Blvd
Suite 300B-a
Portland, OR 97219-5908

Mailing address

10175 SW Barbur Blvd
Suite 300B-a
Portland, OR 97219-5908
Phone (503) 246-7332

Other names 1

  • Joan E Rappaport Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20111220000425 OR Practitioner - Clinical Social Worker 7214103324 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6312 SW Capitol Hwy
Suite 138
Portland, OR 97239-1938
Phone (503) 246-7332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00177ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043318702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 SW BARBUR BLVD",
            "address_2": "SUITE 300B-A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195908",
            "telephone_number": "503-246-7332",
            "fax_number": "503-246-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 SW BARBUR BLVD",
            "address_2": "SUITE 300B-A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195908",
            "telephone_number": "503-246-7332",
            "fax_number": "503-246-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKER",
        "first_name": "JOAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MSW PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "00177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "RAPPAPORT",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.