Active NPI
Willie Thomas
- Social Worker
- Portland, OR
National Provider Identifier
1134963739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 9570 SW Barbur Blvd Ste 214
Portland, OR 97219-5412 - Phone
- (971) 429-2113
- NPI assigned
- Jun 20, 2024
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
9570 SW Barbur Blvd Ste 214
Portland, OR 97219-5412
Mailing address
9570 SW Barbur Blvd Ste 214
Portland, OR 97219-5412
Phone (971) 429-2113
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1134963739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9570 SW BARBUR BLVD STE 214",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972195412",
"telephone_number": "971-429-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9570 SW BARBUR BLVD STE 214",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972195412",
"telephone_number": "971-429-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "WILLIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-20",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"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 Jul 22, 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.