Individual provider Active NPI

Gregory Ernest Watson, LCSW

  • Clinical Social Worker
  • Hillsboro, OR
National Provider Identifier
1447389283
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1186 Issued in OR
Practice address
5240 NE Elam Young Pkwy Ste 150
Hillsboro, OR 97124-6210
Phone
(503) 846-4552
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1186 OR Primary

Addresses

Primary practice location

5240 NE Elam Young Pkwy Ste 150
Hillsboro, OR 97124-6210

Mailing address

5240 NE Elam Young Pkwy Ste 150
Hillsboro, OR 97124-6210
Phone (503) 846-4552

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
I20231108003960 OR Practitioner - Clinical Social Worker 5395878359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

880 82ND Dr
Gladstone, OR 97027-1803
Phone (503) 659-5515

890 82ND Dr
Gladstone, OR 97027-1803
Phone (503) 659-5515

890 SE
82ND
Gladstone, OR 97027-1803
Phone (503) 659-5515

9755 SW Barnes Rd
Suite 650
Portland, OR 97225-6657
Phone (503) 444-4862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1186ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Clinical CurrentSince Sep 27, 2023 Accepting new patients
Western Psychological and Counseling Services LLC CurrentSince Sep 27, 2023 Accepting new patients

Locations

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

9755 SW Barnes Rd
Ste 650
Portland, OR 97225
Phone (503) 444-4862

18765 SW Boones Ferry Rd
Ste 100
Tualatin, OR 97062
Phone (503) 612-1000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1447389283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 NE ELAM YOUNG PKWY STE 150",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246210",
            "telephone_number": "503-846-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 NE ELAM YOUNG PKWY STE 150",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246210",
            "telephone_number": "503-846-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "GREGORY",
        "middle_name": "ERNEST",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "1186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.