Active NPI
Geraldine Ruth Brownstein, MS LCSW
- Clinical Social Worker
- Lake Oswego, OR
National Provider Identifier
1386869220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 002879
- Practice address
- 15800 SW Boones Ferry Rd
Suite a 10
Lake Oswego, OR 97035 - Phone
- (503) 699-1165
- NPI assigned
- Apr 16, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 002879 | OR | Primary |
| Clinical Social Worker | 1041C0700X | 20363 | CA | |
| Clinical Social Worker | 1041C0700X | 0002306 | FL | |
| Clinical Social Worker | 1041C0700X | LW00006015 | WA | |
| Clinical Social Worker | 1041C0700X | 013252 | NY |
Addresses
Primary practice location
15800 SW Boones Ferry Rd
Suite a 10
Lake Oswego, OR 97035
Mailing address
5256 SW Centerwood St
Lake Oswego, OR 97035
Phone (503) 624-2045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J9978 | Other | OR | PACIFIC SOURCE HEALTH PLA |
Other names 1
- Geri Brownstein
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013252 | NY | MD | Mental Health Counselor |
| 0002306 | FL | MD | Clinical Social Worker |
| 002879 | OR | MD | Clinical Social Worker |
| LW00006015 | WA | MD | Clinical Social Worker |
| 20363 | CA | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1386869220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5256 SW CENTERWOOD ST",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "97035",
"telephone_number": "503-624-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15800 SW BOONES FERRY RD",
"address_2": "SUITE A 10",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "97035",
"telephone_number": "503-699-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWNSTEIN",
"first_name": "GERALDINE",
"middle_name": "RUTH",
"credential": "MS LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "002879",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "20363",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "0002306",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00006015",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "013252",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC SOURCE HEALTH PLA",
"identifier": "J9978",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GERI",
"last_name": "BROWNSTEIN",
"credential": "MS LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.