Individual provider Active NPI

Stephanie Anne Cox, CSWA

  • Clinical Social Worker
  • Beaverton, OR
National Provider Identifier
1053011817
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
A13866 Issued in OR
Practice address
6900 SW 105TH Ave Ste B
Beaverton, OR 97008-5470
Phone
(541) 638-0830
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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 A13866 OR Primary

Addresses

Primary practice location

6900 SW 105TH Ave Ste B
Beaverton, OR 97008-5470

Mailing address

26493 S Barlow Rd
Canby, OR 97013-9503
Phone (503) 504-9517

Other practice location 1

7000 SW Varns St
Portland, OR 97223-8145
Phone (503) 749-0200 ext. 523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A13866ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Base Behavioral Health LLC CurrentSince Mar 12, 2023 Accepting new patients

Locations

6900 SW 105th Ave
Ste B
Beaverton, OR 97008
Phone (541) 638-0830

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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1053011817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26493 S BARLOW RD",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970139503",
            "telephone_number": "503-504-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 SW 105TH AVE STE B",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085470",
            "telephone_number": "541-638-0830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 SW Varns St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972238145",
            "country_code": "US",
            "telephone_number": "503-749-0200 x523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COX",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "credential": "CSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A13866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.