Individual provider Active NPI

Ramata Kazadi Adebawo, QMHP

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1386818656
Registry record updated Apr 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L10747 Issued in OR
Practice address
8383 NE Sandy Blvd Ste 430
Portland, OR 97220-4998
Phone
(503) 593-0134
NPI assigned
Apr 17, 2008
Last updated
Apr 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X L10747 OR Primary

Addresses

Primary practice location

8383 NE Sandy Blvd Ste 430
Portland, OR 97220-4998

Mailing address

8383 NE Sandy Blvd
430 Suite
Portland, OR 97220-2243
Phone (503) 593-0134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221115002538 OR Practitioner - Clinical Social Worker 6406224989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians

Practice addresses (Care Compare)

3303 S Bond Ave
Portland, OR 97239-4501
Phone (503) 494-8311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L10747ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services CurrentSince Oct 3, 2022 Accepting new patients
University Professional Services CurrentSince Oct 3, 2022 Accepting new patients
University Professional Services Current Accepting new patients
Nura Social Services CurrentSince May 8, 2022 Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

3303 S Bond Ave
Portland, OR 97239
Phone (503) 494-3151

8383 NE Sandy Blvd
Ste 430
Portland, OR 97220
Phone (503) 593-0134

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651276800000",
    "number": "1386818656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 NE SANDY BLVD",
            "address_2": "430 SUITE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202243",
            "telephone_number": "503-593-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 NE SANDY BLVD STE 430",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204998",
            "telephone_number": "503-593-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBAWO",
        "first_name": "RAMATA",
        "middle_name": "KAZADI",
        "credential": "QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.