Active NPI
Sage Freeburg, CSWA
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1316619141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- A14388
- Practice address
- 7346 NE Sandy Blvd Apt C
Portland, OR 97213-5775 - Phone
- (503) 746-3373
- NPI assigned
- Sep 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | A14388 | OR | Primary |
Addresses
Primary practice location
7346 NE Sandy Blvd Apt C
Portland, OR 97213-5775
Mailing address
7346 NE Sandy Blvd Apt C
Portland, OR 97213-5775
Phone (503) 746-3373
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A14388 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boysen Counseling LLC | Clinical | Current | Accepting new patients |
Locations
7346 NE Sandy Blvd
Ste C
Portland, OR 97213
Phone (503) 746-3373
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1316619141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7346 NE SANDY BLVD APT C",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972135775",
"telephone_number": "503-746-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7346 NE SANDY BLVD APT C",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972135775",
"telephone_number": "503-746-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEBURG",
"first_name": "SAGE",
"credential": "CSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-30",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "A14388",
"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 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.