Individual provider Active NPI

Slavica Kojadinovic, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1174756571
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L5301 Issued in OR
Practice address
2250 NW Flanders St Ste 201
Portland, OR 97210-5410
Phone
(503) 706-0372
Fax
(844) 293-3937
NPI assigned
Sep 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L5301 OR Primary

Addresses

Primary practice location

2250 NW Flanders St Ste 201
Portland, OR 97210-5410

Mailing address

2250 NW Flanders St Ste 201
Portland, OR 97210-5410
Phone (503) 706-0372

Other practice location 1

975 SE Sandy Blvd Ste 100
Portland, OR 97214-1399
Phone (503) 427-1952

Other identifiers 1

IdentifierTypeStateIssuer
12365198OtherORCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L5301ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connections First, LLC Clinical CurrentSince Jan 8, 2018 Accepting new patients

Locations

3939 NE Hancock St
Ste 305
Portland, OR 97212
Phone (503) 750-1859

3939 NE Hancock St
Ste 307
Portland, OR 97212
Phone (503) 360-6092

2250 NW Flanders St
Ste 201
Portland, OR 97210
Phone (503) 427-1952

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.

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1174756571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105410",
            "telephone_number": "503-706-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105410",
            "telephone_number": "503-706-0372",
            "fax_number": "844-293-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 SE Sandy Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972141399",
            "country_code": "US",
            "telephone_number": "503-427-1952",
            "fax_number": "844-293-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOJADINOVIC",
        "first_name": "SLAVICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12365198",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.