Individual provider Active NPI

Rita A Stratton, LCSW

  • Clinical Social Worker
  • Gresham, OR
National Provider Identifier
1295884658
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1721 Issued in OR
Practice address
333 SE 223Rd Ave
Suite 204
Gresham, OR 97030-7454
Phone
(503) 661-7733
Fax
(503) 661-7890
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1721 OR Primary

Addresses

Primary practice location

333 SE 223Rd Ave
Suite 204
Gresham, OR 97030-7454

Mailing address

2116 NE 165TH Dr
Portland, OR 97230-5562
Phone (503) 257-6759

Other identifiers 1

IdentifierTypeStateIssuer
1721OtherOROR..LCSW LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295884658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 NE 165TH DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972305562",
            "telephone_number": "503-257-6759",
            "fax_number": "503-257-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SE 223RD AVE",
            "address_2": "SUITE 204",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307454",
            "telephone_number": "503-661-7733",
            "fax_number": "503-661-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATTON",
        "first_name": "RITA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "1721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OR..LCSW LICENSE NUMBER",
            "identifier": "1721",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.