Organization Active NPI

Holly Matthews, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1396220273
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOLLY MATTHEWS, LCSW
Practice address
7409 SW Capitol Hwy Ste 201
Portland, OR 97219-2432
Phone
(503) 406-8064
NPI assigned
Sep 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
Ms. Holly M. Matthews, LCSWNPI 1588852537
Title
Mental Health Therapist
Phone
(503) 406-8064

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 Primary

Addresses

Primary practice location

7409 SW Capitol Hwy Ste 201
Portland, OR 97219-2432

Mailing address

7409 SW Capitol Hwy Ste 201
Portland, OR 97219-2432

Other names 1

  • Holly M Matthews, LCSW Other name

National Provider Directory

National Provider Directory

Locations

7409 SW Capitol Hwy
Ste 201
Portland, OR 97219
Phone (503) 406-8064

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": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1396220273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 SW CAPITOL HWY STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 SW CAPITOL HWY STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192432",
            "telephone_number": "503-406-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY MATTHEWS, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "503-406-8064",
        "authorized_official_name_prefix": "Ms.",
        "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": [
        {
            "organization_name": "Holly M Matthews, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 26, 2018; 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.