Organization Active NPI

Healing From the Heart

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1366827487
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
A5513 Issued in OR
Legal business name
HEALING FROM THE HEART
Practice address
5425 NE 27TH Ave
Portland, OR 97211-6227
Phone
(971) 275-9974
NPI assigned
Jul 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Ms. Javelin L Hardy, CSWANPI 1629417050
Title
Social Worker
Phone
(971) 275-9974

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 A5513 OR Primary

Addresses

Primary practice location

5425 NE 27TH Ave
Portland, OR 97211-6227

Mailing address

5425 NE 27TH Ave
Portland, OR 97211-6227
Phone (971) 275-9974

National Provider Directory

National Provider Directory

Locations

5425 NE 27th Ave
Portland, OR 97211
Phone (971) 275-9974

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": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1366827487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 NE 27TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116227",
            "telephone_number": "971-275-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 NE 27TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116227",
            "telephone_number": "971-275-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING FROM THE HEART",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "JAVELIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "971-275-9974",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CSWA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A5513",
            "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 Jul 30, 2015; 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.