Organization Active NPI

Miriam L Robinson, Licensed Clinical Social Worker, LLC

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1235425505
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIRIAM L ROBINSON, LICENSED CLINICAL SOCIAL WORKER, LLC
Practice address
5331 S Macadam Ave Ste 283
Portland, OR 97239-3849
Phone
(503) 465-5708
Fax
(503) 465-5707
NPI assigned
Jun 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

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

Authorized official

Name
Ms. Miriam Louise Robinson, LCSWNPI 1790844744
Title
Owner
Phone
(503) 465-5708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5331 S Macadam Ave Ste 283
Portland, OR 97239-3849

Mailing address

5331 S Macadam Ave Ste 283
Portland, OR 97239-3849
Phone (503) 465-5708

National Provider Directory

National Provider Directory

Locations

5331 S Macadam Ave
Ste 208
Portland, OR 97239
Phone (503) 465-5708

5331 S Macadam Ave
Ste 283
Portland, OR 97239
Phone (503) 465-5708

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719100800000",
    "number": "1235425505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 S MACADAM AVE STE 283",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393849",
            "telephone_number": "503-465-5708",
            "fax_number": "503-465-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 S MACADAM AVE STE 283",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393849",
            "telephone_number": "503-465-5708",
            "fax_number": "503-465-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM L ROBINSON, LICENSED CLINICAL SOCIAL WORKER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-465-5708",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Jun 23, 2024; 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.