Individual provider Active NPI

Naomi Raia, LCSW

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1205214285
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60848623 Issued in WA
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
L7377ORMDClinical Social Worker
LW60848623WAMDClinical 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.

Verify at the official NPI Registry.