Active NPI
Stephanie Clodfelter
- Clinical Social Worker
- Beaverton, OR
National Provider Identifier
1154872091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 14025 SW Farmington Rd # 160
Beaverton, OR 97005-2512 - Phone
- (503) 258-4200
- NPI assigned
- Oct 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
14025 SW Farmington Rd # 160
Beaverton, OR 97005-2512
Mailing address
11035 NE Sandy Blvd
Portland, OR 97220-2553
Phone (503) 258-4200
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morrison Child and Family Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, OR
- NPI 1346382975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476489600000",
"number": "1154872091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11035 NE SANDY BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972202553",
"telephone_number": "503-258-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14025 SW FARMINGTON RD # 160",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052512",
"telephone_number": "503-258-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLODFELTER",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-15",
"last_updated": "2016-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.