Sara Fleming, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4435 Issued in OR

Practice address

4729 SE 86TH Ave
Portland, OR 97266-3035

Phone

(503) 278-5581

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Migliazzo Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1184786527
  NPD

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1245367143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 SE SCHILLER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972663164",
            "telephone_number": "503-553-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 SE 86TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972663035",
            "telephone_number": "503-278-5581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7415 North Oatman Avenue",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97217",
            "country_code": "US",
            "telephone_number": "503-278-5581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7415 North Oatman Avenue",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97217",
            "country_code": "US",
            "telephone_number": "503-278-5581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "SARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "8616 SE Schiller St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972663164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MIGLIAZZO",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anne Maureen Fleming, MD
• Donald Anthony Fleming, CADCI, CRM
• Julie Elizabeth Fleming
• Kadiatu Fleming
• Melinda Ann Fleming, RN
• Tannia Lyn Fleming, PA-C
• William Harvard Fleming, MD
• Jeffrey Edward Flemming, MD
• Maria Fleseriu, MD
• Devora Kristine Fleshler, NP

• 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 Dec 20, 2021; 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.

Verify at the official NPI Registry.