Heather Ranae McIntosh, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4379 Issued in OR

Practice address

7323 N Burlington Ave
Portland, OR 97203

Phone

(503) 572-0858

NPI assigned

May 21, 2013

Last updated

May 21, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1043656713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9821 N VAN HOUTEN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972031958",
            "telephone_number": "503-572-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7323 N BURLINGTON AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97203",
            "telephone_number": "503-572-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "HEATHER",
        "middle_name": "RANAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boynn F McIntire, LAC
• Quinn McIntire
• Allison McIntosh
• Bailey Rae McIntosh, BA, QMHA
• Brandy McIntosh
• Kelli Loray McIntosh, LDM, CPM
• Scott Cody McIntosh
• Kathleen M McIntyre
• Kayla Sunshine McIntyre, LMT
• Laura P McIntyre, OD

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.