Justine Strach Elstad, CSWA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

A3195 Issued in OR

Practice address

4105 SE International Way Ste 501
Milwaukie, OR 97222-8855

Phone

(503) 645-3581

Fax

(503) 690-9605

NPI assigned

Jun 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• A Place for Hope and Healing

  dba Introspective Collective

  • Clinical Social Worker
  • Portland, OR
  • NPI 1770310864
  NPD Authorized official

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1063775799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 NW CORNELL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295442",
            "telephone_number": "503-645-3581",
            "fax_number": "503-690-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 SE INTERNATIONAL WAY STE 501",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972228855",
            "telephone_number": "503-645-3581",
            "fax_number": "503-690-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSTAD",
        "first_name": "JUSTINE",
        "middle_name": "STRACH",
        "credential": "CSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "54067",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A3195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd James Elliott, PT
• Samantha Michelle Ellis, BA
• Jaezpr Ellys
• Paul Elmore, MA, MS, LPC
• Rodel Capena Elpedes, PTA
• Embodiment Evolution, LLC (Eric Van Leeuwen, LMT)
• Emergency Dentist of Milwaukie Inc
• Hannah Grace Emerson
• Brett Lee Englund, PTA
• Carl Michael Erickson, D.O.

• Social Worker in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.