Active NPI
Tarasa Roland, CSWA
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1114648136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L15730
- Practice address
- 7550 N Lombard St Apt 315
Portland, OR 97203-3244 - Phone
- (503) 208-6188
- NPI assigned
- Sep 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW61481012 | WA | |
| Clinical Social Worker | 1041C0700X | L15730 | OR | Primary |
Addresses
Primary practice location
7550 N Lombard St Apt 315
Portland, OR 97203-3244
Mailing address
7550 N Lombard St Apt 315
Portland, OR 97203-3244
Phone (612) 718-3663
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 |
|---|---|---|---|
| L15730 | OR | MD | Clinical Social Worker |
| LW61481012 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lightheart Associates PS | Clinical | Past | Accepting new patients |
| Dr. Kathleen Worsley | Past | Accepting new patients |
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.
-
- Counseling Psychologist
- Redmond, WA
- NPI 1619484821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1114648136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7550 N LOMBARD ST APT 315",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972033244",
"telephone_number": "612-718-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7550 N LOMBARD ST APT 315",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972033244",
"telephone_number": "503-208-6188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLAND",
"first_name": "TARASA",
"credential": "CSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-07",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61481012",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L15730",
"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 Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.