Active NPI
Keziah Striplin
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1083447221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- A15472
- Practice address
- 1110 SE Alder St Ste 301
Portland, OR 97214-2400 - Phone
- (207) 316-2609
- NPI assigned
- Aug 22, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | A15472 | OR | Primary |
Addresses
Primary practice location
1110 SE Alder St Ste 301
Portland, OR 97214-2400
Mailing address
11304 SE 10TH St Apt R4
Vancouver, WA 98664-5183
Phone (503) 803-2060
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 |
|---|---|---|---|
| A15472 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1083447221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11304 SE 10TH ST APT R4",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986645183",
"telephone_number": "503-803-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 SE ALDER ST STE 301",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142400",
"telephone_number": "207-316-2609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRIPLIN",
"first_name": "KEZIAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-22",
"last_updated": "2024-08-22",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "A15472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.