Active NPI
Jamie Newell, MSW, LCSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1104059252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4477
- Practice address
- 3310 SE Division St
2ND Floor
Portland, OR 97202-1457 - Phone
- (971) 270-7576
- NPI assigned
- Aug 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | L4477 | OR | Primary |
Addresses
Primary practice location
3310 SE Division St
2ND Floor
Portland, OR 97202-1457
Mailing address
3310 SE Division St
2ND Floor
Portland, OR 97202-1457
Phone (971) 270-7576
Other names 1
- Jamie Blumberg
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitions Professional Center | Current | Accepting new patients | |
| Tuality Physicians, P.C. | Past | Accepting new patients | |
| Care Partners | Past | Accepting new patients |
Locations
4207 SE Woodstock Blvd
Portland, OR 97206
Phone (503) 312-6005
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/dab37ab4-940f-46d2-83dd-9830ab97c4d5/
Organizations & group practices 3
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.
-
- Psychologist
- Portland, OR
- NPI 1093126674
-
- Community Based Hospice Care Agency
- Portland, OR
- NPI 1255365904
-
- Family Medicine Physician
- Hillsboro, OR
- NPI 1073691556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1104059252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 SE DIVISION ST",
"address_2": "2ND FLOOR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021457",
"telephone_number": "971-270-7576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 SE DIVISION ST",
"address_2": "2ND FLOOR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021457",
"telephone_number": "971-270-7576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWELL",
"first_name": "JAMIE",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-24",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "BLUMBERG",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
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 May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.