Individual provider Active NPI

Eleni Lazarou, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1174189856
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L10344 Issued in OR
Practice address
1720 NW Lovejoy St Ste 302
Portland, OR 97209-2344
Phone
(503) 714-3390
NPI assigned
May 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X L10344 OR
Clinical Social Worker 1041C0700X L10344 OR Primary

Addresses

Primary practice location

1720 NW Lovejoy St Ste 302
Portland, OR 97209-2344

Mailing address

1720 NW Lovejoy St Ste 302
Portland, OR 97209-2344
Phone (503) 714-3390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200817000939 OR Practitioner - Clinical Social Worker 8729404124 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Akmazo LLC Professional CurrentSince Aug 26, 2020 Accepting new patients
Well Coast Medical Corporation PastSince Jun 1, 2020 Accepting new patients

Locations

1720 NW Lovejoy St
Ste 302
Portland, OR 97209
Phone (503) 714-3390

1017 SW Morrison St
Ste 405
Portland, OR 97205
Phone (301) 639-6917

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1174189856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 NW LOVEJOY ST STE 302",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092344",
            "telephone_number": "503-714-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 NW LOVEJOY ST STE 302",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092344",
            "telephone_number": "503-714-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAROU",
        "first_name": "ELENI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "L10344",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.