Individual provider Active NPI

Eva Firth

  • Clinical Social Worker
  • Tualatin, OR
National Provider Identifier
1083108658
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L13269 Issued in OR
Practice address
18650 SW Boones Ferry Rd Ste 3
Tualatin, OR 97062-8491
Phone
(801) 244-0211
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11098475-3501 UT
Clinical Social Worker 1041C0700X L13269 OR Primary

Addresses

Primary practice location

18650 SW Boones Ferry Rd Ste 3
Tualatin, OR 97062-8491

Mailing address

18650 SW Boones Ferry Rd Ste 3
Tualatin, OR 97062-8491
Phone (801) 244-0211

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
L13269ORMDClinical Social Worker
11098475-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Embodied Connections Therapy LLC Clinical CurrentSince Sep 5, 2023 Accepting new patients
Volunteers of America Past Accepting new patients

Locations

18650 SW Boones Ferry Rd
Ste 3
Tualatin, OR 97062
Phone (503) 351-5858

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1083108658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18650 SW BOONES FERRY RD STE 3",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628491",
            "telephone_number": "801-244-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18650 SW BOONES FERRY RD STE 3",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628491",
            "telephone_number": "801-244-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRTH",
        "first_name": "EVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11098475-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L13269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.