Tracy Roberti, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4237 Issued in OR

Practice address

526 NW 21St Ave
Portland, OR 97209-1157

Phone

(541) 621-1415

Fax

(541) 787-4908

NPI assigned

Nov 18, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1124273115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3488",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975200317",
            "telephone_number": "541-621-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 NW 21ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091157",
            "telephone_number": "541-621-1415",
            "fax_number": "541-787-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTI",
        "first_name": "TRACY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "4237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Von Borstel II, MD, PC
• Robert W McLellarn, PHD
• Alyssa Robert, BSW
• Pauline Ann Robert, MSW
• Gregory Roberti, PHARMD
• Sierra Roberts-Lopez
• Aaron Roberts, CADC I
• Ailea Roberts
• Amy Raynelle Roberts, CSWA
• Anita F Roberts, DC

• 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 Oct 3, 2018; 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.