Individual provider Active NPI

Jason Loverti, MSW, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1114093119
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L4756 Issued in OR
Practice address
8383 NE Sandy Blvd Ste 205
Portland, OR 97220-4967
Phone
(503) 253-0964
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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 20539 CA
Clinical Social Worker 1041C0700X L4756 OR Primary

Addresses

Primary practice location

8383 NE Sandy Blvd Ste 205
Portland, OR 97220-4967

Mailing address

8383 NE Sandy Blvd Ste 205
Portland, OR 97220-4967
Phone (503) 253-0964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2020 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L4756ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Northwest Catholic Counseling Center PastSince Oct 21, 2014 Accepting new patients
Central City Concern Past Accepting new patients
Central City Concern, Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1114093119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 NE SANDY BLVD STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204967",
            "telephone_number": "503-253-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 NE SANDY BLVD STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204967",
            "telephone_number": "503-253-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVERTI",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20539",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.