Active NPI
Erica Marie Capretta, LCSW
- Clinical Social Worker
- Oregon City, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L12109
- Practice address
- 1511 Division St Ste 101
Oregon City, OR 97045-1589 - Phone
- (503) 722-3705
- NPI assigned
- Jul 13, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA. 131538 | OH | |
| Social Worker | 104100000X | S. 1450288 | OH | |
| Social Worker | 104100000X | I.1800931-SUPV | OH | |
| Clinical Social Worker | 1041C0700X | L12109 | OR | Primary |
Addresses
Primary practice location
1511 Division St Ste 101
Oregon City, OR 97045-1589
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
5415 SW Westgate Dr
Portland, OR 97221-2409
Phone (216) 773-5210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA. 131538 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| I.1800931-SUPV | OH | MD | Social Worker |
| S. 1450288 | OH | MD | Social Worker |
| L12109 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Clinical | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients |
Locations
25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468
25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520
1511 Division St
Ste 101
Oregon City, OR 97045
Phone (503) 722-3705
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
Interoperability endpoints
- pbc.ericacapretta@140094.advancedmd-direct.com
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 and National Provider Directory roles.
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
Clinical
-
- Medical Oncology Physician
- Portland, OR
- NPI 1255740965
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1427432145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 DIVISION ST STE 101",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970451589",
"telephone_number": "503-722-3705"
}
],
"practiceLocations": [
{
"address_1": "5415 SW Westgate Dr",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972212409",
"country_code": "US",
"telephone_number": "216-773-5210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPRETTA",
"first_name": "ERICA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA. 131538",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S. 1450288",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.1800931-SUPV",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L12109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.