Individual provider Active NPI

Shirin Yekekar

  • Clinical Social Worker
  • Hillsboro, OR
National Provider Identifier
1164017604
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L11765 Issued in OR
Practice address
1915 NE Stucki Ave Ste 308
Hillsboro, OR 97006-6951
Phone
(971) 270-0116
NPI assigned
Mar 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X A12337 OR
Clinical Social Worker 1041C0700X L11765 OR Primary

Addresses

Primary practice location

1915 NE Stucki Ave Ste 308
Hillsboro, OR 97006-6951

Mailing address

1915 NE Stucki Ave Ste 308
Hillsboro, OR 97006-6951
Phone (971) 270-0116

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

LicenseStateTypeSpecialty
A12337ORMDSocial Worker
L11765ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1164017604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 NE STUCKI AVE STE 308",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066951",
            "telephone_number": "971-270-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 NE STUCKI AVE STE 308",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066951",
            "telephone_number": "971-270-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEKEKAR",
        "first_name": "SHIRIN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-06",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A12337",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11765",
            "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 Aug 23, 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.

Verify at the official NPI Registry.