Janetb Bardossi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1870 Issued in OR

Practice address

7528 SE 34TH Ave
Portland, OR 97202-8312

Phone

(503) 380-1730

NPI assigned

Jun 30, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Janet Bardossi Professional name

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

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1285049031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7528 SE 34TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972028312",
            "telephone_number": "503-380-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7528 SE 34TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972028312",
            "telephone_number": "503-380-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDOSSI",
        "first_name": "JANETB",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "1870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "BARDOSSI",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emil John Bardana, MD
• Amanda Trieu Bardeloza, PHARMD
• Hannah Barden, BS
• Travis Barden
• Susan Lim Bardon, CRNA
• Lauren Bardwell
• Denise Bare, CRM, THW
• George Louis Bare
• Thomas Barefoot
• Mitchell Bareng, FNP-C

• 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 Jun 30, 2014; 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.