Active NPI
L Dolores Belafonte
- Social Worker
- Hillsboro, OR
National Provider Identifier
1124871447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.108895
- Practice address
- 1915 NE Stucki Ave Ste 400
Hillsboro, OR 97006-6938 - Phone
- (814) 408-0014
- NPI assigned
- Apr 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.108895 | IL | Primary |
Addresses
Primary practice location
1915 NE Stucki Ave Ste 400
Hillsboro, OR 97006-6938
Mailing address
3159 Carpenters Park Rd
Davidsville, PA 15928-9223
Phone (814) 408-0014
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 |
|---|---|---|---|
| 150.108895 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1124871447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3159 CARPENTERS PARK RD",
"city": "DAVIDSVILLE",
"state": "PA",
"postal_code": "159289223",
"telephone_number": "814-408-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 NE STUCKI AVE STE 400",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "970066938",
"telephone_number": "814-408-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELAFONTE",
"first_name": "L DOLORES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-08",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.108895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.