Individual provider Active NPI

Ruth A. Maionchi, S.W.

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1093957631
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3531 Issued in OR
Practice address
1625 NE Marine Dr
Portland, OR 97211-1533
Phone
(503) 289-3600
Fax
(503) 289-6175
NPI assigned
Mar 27, 2009
Last updated
Mar 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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 L3531 OR Primary

Addresses

Primary practice location

1625 NE Marine Dr
Portland, OR 97211-1533

Mailing address

1625 NE Marine Dr
Portland, OR 97211-1533
Phone (503) 289-3600

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
L3531ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1093957631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 NE MARINE DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972111533",
            "telephone_number": "503-289-3600",
            "fax_number": "503-289-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 NE MARINE DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972111533",
            "telephone_number": "503-289-3600",
            "fax_number": "503-289-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIONCHI",
        "first_name": "RUTH",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3531",
            "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 Mar 27, 2009; 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.