Active NPI
Jamie Williams
- Clinical Social Worker
- Gresham, OR
National Provider Identifier
1053636001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L7778
- Practice address
- 25050 SE Stark St Ste 300
Gresham, OR 97030-3388 - Phone
- (035) 667-8878
- Fax
- (503) 667-0310
- NPI assigned
- Apr 1, 2010
- Last updated
- Nov 4, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | OR | ||
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | L7778 | OR | Primary |
Addresses
Primary practice location
25050 SE Stark St Ste 300
Gresham, OR 97030-3388
Mailing address
PO Box 8459
Portland, OR 97207-8459
Phone (503) 238-0769
Other names 1
- Jamie Fleming
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
| License | State | Type | Specialty |
|---|---|---|---|
| L7778 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Pediatrics, LLC | Mental Health | Past | Accepting new patients |
| Cascadia Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cascadia Behavioral Healthcare, Inc.
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1336196401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1053636001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8459",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972078459",
"telephone_number": "503-238-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25050 SE STARK ST STE 300",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303388",
"telephone_number": "035-667-8878",
"fax_number": "503-667-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L7778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "FLEMING",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.