Karen St Clair, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L2197 Issued in OR

Practice address

2625 SE Hawthorne Blvd
Suite H
Portland, OR 97214-2941

Phone

(503) 407-0421

Fax

(503) 235-5396

NPI assigned

Oct 20, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1124017199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42463",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972420463",
            "telephone_number": "503-407-0421",
            "fax_number": "503-235-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 SE HAWTHORNE BLVD",
            "address_2": "SUITE H",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142941",
            "telephone_number": "503-407-0421",
            "fax_number": "503-235-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST CLAIR",
        "first_name": "KAREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R148851",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500604645",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amar Srivastava, M.D.
• Rungrudee Sriyoung, RN
• Ann Elizabeth Srodulski, MA
• Sssht Opco SE Division Street, LLC
• Michael Anthony St Amand, PAC
• Keeley Swete St Clair, MT-BC
• Pamela Jean St Clair, FNP-BC
• Rene C St Cyr, DC
• Leah St Germain
• Madilyn St Germain

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.