Active NPI
Naomi Raia, LCSW
- Clinical Social Worker
- Vancouver, WA
National Provider Identifier
1205214285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60848623
- Practice address
- 1601 E Fourth Plain Blvd # V4Pcd
Vancouver, WA 98661-3713 - Phone
- (360) 759-1674
- Fax
- (360) 905-1731
- NPI assigned
- May 11, 2015
- Last updated
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L7377 | OR | |
| Clinical Social Worker | 1041C0700X | LW60848623 | WA | Primary |
Addresses
Primary practice location
1601 E Fourth Plain Blvd # V4Pcd
Vancouver, WA 98661-3713
Mailing address
1601 E Fourth Plain Blvd # V4Pcd
Vancouver, WA 98661-3713
Phone (360) 759-1674
Other practice location 1
3710 SW US Veterans Hospital Rd
Portland, OR 97239-2999
Phone (360) 759-1674
Other practice location 2
710 SW Rock Creek Dr
Stevenson, WA 98648-4418
Phone (509) 427-3850
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
| License | State | Type | Specialty |
|---|---|---|---|
| L7377 | OR | MD | Clinical Social Worker |
| LW60848623 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1205214285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E FOURTH PLAIN BLVD # V4PCD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613713",
"telephone_number": "360-759-1674",
"fax_number": "360-905-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E FOURTH PLAIN BLVD # V4PCD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613713",
"telephone_number": "360-759-1674",
"fax_number": "360-905-1731"
}
],
"practiceLocations": [
{
"address_1": "3710 SW US Veterans Hospital Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972392999",
"country_code": "US",
"telephone_number": "360-759-1674",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "710 SW Rock Creek Dr",
"address_purpose": "LOCATION",
"city": "Stevenson",
"state": "WA",
"postal_code": "986484418",
"country_code": "US",
"telephone_number": "509-427-3850",
"fax_number": "509-427-0188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAIA",
"first_name": "NAOMI",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-11",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L7377",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60848623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.