Soma Trauma Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L2048 Issued in OR

Legal business name

SOMA TRAUMA THERAPY, LLC

Doing business as

Soma

Practice address

833 SW 11TH Ave
Suite 320
Portland, OR 97205-2125

Phone

(503) 227-5692

Fax

(506) 227-8183

NPI assigned

May 15, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Beverly Lois Schwartz, LCSWNPI 1083784599

Title

Psychotherapist

Phone

(503) 227-5692

Specialties & licenses 1

Addresses

Other names 1

• SOMA Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beverly Schwartz, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1083784599
  NPD (past) Authorized official
• Sara Cagle, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1336526342
  NPD (past)

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1194084830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE",
            "address_2": "SUITE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052125",
            "telephone_number": "503-227-5692",
            "fax_number": "506-227-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE",
            "address_2": "SUITE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052125",
            "telephone_number": "503-227-5692",
            "fax_number": "506-227-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA TRAUMA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "LOIS",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "503-227-5692",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOMA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Solstice Natural Health Co.
• Sarah Soltman, M.D.
• Lori Anne Soltys, OT
• Solutions Chiropractic LLC
• Solutions Sports and Spine, Inc
• Somaflow Health and Massage
• Somali Empowerment Circle
• Somali Oregon Service Center
• Divya Uthaman Soman, M.D
• Sanjay Soman

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.