Organization Active NPI

Brett Stithem, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1255859583
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRETT STITHEM, LCSW
Practice address
1829 NE Alberta St Ste 7
Portland, OR 97211-5881
Phone
(773) 575-8152
NPI assigned
Sep 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Mr. Brett R Stithem, LCSWNPI 1518272517
Title
Clinical Social Worker
Phone
(773) 575-8152

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

1829 NE Alberta St Ste 7
Portland, OR 97211-5881

Mailing address

5623 NE 11TH Ave Unit B
Portland, OR 97211-4274
Phone (773) 575-8152

National Provider Directory

National Provider Directory

Locations

1829 NE Alberta St
Ste 7
Portland, OR 97211
Phone (503) 701-3611

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": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1255859583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 NE 11TH AVE UNIT B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972114274",
            "telephone_number": "773-575-8152",
            "fax_number": "833-288-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 NE ALBERTA ST STE 7",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115881",
            "telephone_number": "773-575-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT STITHEM, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "STITHEM",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "773-575-8152",
        "authorized_official_name_prefix": "Mr.",
        "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 Oct 24, 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.