Individual provider Active NPI

Laura Powers, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1184107328
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L11073 Issued in OR
Practice address
10101 SE Main St Ste 3001
Portland, OR 97216-2458
Phone
(503) 261-4423
Fax
(503) 261-4424
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X L11073 OR Primary
Counselor 101Y00000X

Addresses

Primary practice location

10101 SE Main St Ste 3001
Portland, OR 97216-2458

Mailing address

10101 SE Main St Ste 3001
Portland, OR 97216-2458
Phone (503) 261-4423

Other practice location 1

309 W 12th St
Vancouver, WA 98660-2903
Phone (360) 695-1325

Other practice location 2

998 Library Ct
Oregon City, OR 97045-4041
Phone (503) 655-8401

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
I20240820003403 OR Practitioner - Clinical Social Worker 7315485471 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L11073ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Adventist Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Portland Adventist Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Clackamas County Past Accepting new patients
Children'S Home Society of Washington Past Accepting new patients
County of Clackamas Office of County Auditor Past Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

10101 SE Main St
Ste 3001
Portland, OR 97216
Phone (503) 255-2667

Organizations & group practices 5

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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1184107328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST STE 3001",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162458",
            "telephone_number": "503-261-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST STE 3001",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162458",
            "telephone_number": "503-261-4423",
            "fax_number": "503-261-4424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 W 12th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986602903",
            "country_code": "US",
            "telephone_number": "360-695-1325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "998 Library Ct",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970454041",
            "country_code": "US",
            "telephone_number": "503-655-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11073",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.