Nadejda Ioana Razi Robertson, PHD, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L6849 Issued in OR

Practice address

246 Second Street
Ashland, OR 97520

Phone

(541) 613-1393

NPI assigned

May 19, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Plum Consulting LLC

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1710586821
  NPD Authorized official

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1366899445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 NW OVERTON ST APT 1501",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092549",
            "telephone_number": "541-613-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 SECOND STREET",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "97520",
            "telephone_number": "541-613-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZI ROBERTSON",
        "first_name": "NADEJDA",
        "middle_name": "IOANA",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Rademaker, PT
• Roxanne Rae, LCSW, BCD
• Mariette Ravet I, LMT
• Lynn William Rawcliffe, DPM
• David Af Raynolds, MA, LPC
• Sarah Lorraine Razzano
• Janet Elaine Reavis, F.N.P.
• Nathaniel Eden Reay
• Rebecca Breiholz PHD LLC
• Reclaiming Our Health

• Clinical Social Worker in Ashland, OR
• Providers in Ashland, 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 Oct 20, 2020; 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.