Communion Counseling & Consulting, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4020 Issued in OR

Legal business name

COMMUNION COUNSELING & CONSULTING, LLC

Practice address

333 NE Russell St Ste 209
Portland, OR 97212-3762

Phone

(503) 482-8982

Fax

(503) 716-4742

NPI assigned

Feb 26, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Danette Charisse Gillespie-Otto, MSW, LCSW

Title

President

Phone

(503) 482-8982

Specialties & licenses 1

Addresses

Practitioners 1

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

• Danette Charisse Gillespie, MSW, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1235253758
  NPD (past)

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1295236131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 SE 60TH AVE APT 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152834",
            "telephone_number": "503-482-8982",
            "fax_number": "503-716-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NE RUSSELL ST STE 209",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123762",
            "telephone_number": "503-482-8982",
            "fax_number": "503-716-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNION COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE-OTTO",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_middle_name": "CHARISSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-482-8982",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Brotman Comfort, PHD
• Kathleen Anne Commerford, PHD
• Pamela Commodore, MSW, CADC
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• Community Chiropractic & Natural Medicine LLC
• Community Chiropractic and Exercise Management
• Community Doula Alliance

• 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 Feb 26, 2018; 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.