Organization Active NPI

Heather Teters LLC

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1386269686
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEATHER TETERS LLC
Practice address
1234 NE 75TH Ave
Portland, OR 97213-6127
Phone
(503) 799-0065
NPI assigned
Jun 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Heather Teters, LCSW
Title
Clinical Social Worker
Phone
(503) 799-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1234 NE 75TH Ave
Portland, OR 97213-6127

Mailing address

1234 NE 75TH Ave
Portland, OR 97213-6127
Phone (503) 799-0065

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1386269686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 NE 75TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136127",
            "telephone_number": "503-799-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 NE 75TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136127",
            "telephone_number": "503-799-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER TETERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2023-09-06",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "TETERS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "503-799-0065",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Sep 6, 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.

Verify at the official NPI Registry.