Active NPI
Edith Smith Hopkins, LCSW
- Clinical Social Worker
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15100
- Practice address
- 9155 SW Barnes Rd Ste 634
Portland, OR 97225-6632 - Phone
- (503) 216-2710
- NPI assigned
- Oct 10, 2022
- Sex
- Female
- Sole proprietor
- No
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 | LG200001231 | DC | |
| Clinical Social Worker | 1041C0700X | 15100 | OR | Primary |
Addresses
Primary practice location
9155 SW Barnes Rd Ste 634
Portland, OR 97225-6632
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
1011 Fairmont St NW
Washington, DC 20001-3931
Phone (240) 821-0126
Other practice location 2
4400 Iowa Ave NW
Washington, DC 20011-5604
Phone (240) 821-0126
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG200001231 | DC | MD | Clinical Social Worker |
| 15100 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients |
Locations
9155 SW Barnes Rd
Ste 634
Portland, OR 97225
Phone (503) 216-6662
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
Organizations & group practices 4
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.
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OR
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- Medical Oncology Physician
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- NPI 1295171767
-
- Psychiatry Physician
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- NPI 1760177737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1225753585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9155 SW BARNES RD STE 634",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256632",
"telephone_number": "503-216-2710"
}
],
"practiceLocations": [
{
"address_1": "1011 Fairmont St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200013931",
"country_code": "US",
"telephone_number": "240-821-0126",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4400 Iowa Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200115604",
"country_code": "US",
"telephone_number": "240-821-0126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOPKINS",
"first_name": "EDITH",
"middle_name": "SMITH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-10",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LG200001231",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "15100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.