Individual provider Active NPI

Victoria Shavannah Lamy, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1457907644
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L17408 Issued in OR
Practice address
9739 SE Foster Rd
Portland, OR 97266-4540
Phone
(503) 816-9552
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L17408 OR Primary
Clinical Social Worker 1041C0700X SWI.LW.70088656 WA

Addresses

Primary practice location

9739 SE Foster Rd
Portland, OR 97266-4540

Mailing address

9739 SE Foster Rd
Portland, OR 97266-4540
Phone (503) 816-9552

Other practice location 1

8401 NE Halsey St Ste 108
Portland, OR 97220-5670
Phone (503) 816-9552

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
I20260617000920 OR Practitioner - Clinical Social Worker 3678045077 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Portland, OR 97266
Phone (503) 816-9552

9739 SE Foster Rd
Portland, OR 97266-4540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L17408ORMDClinical Social Worker
SWI.LW.70088656WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Growth Mindset Counseling and Wellness Services CurrentSince Oct 29, 2023 Accepting new patients

Locations

8401 NE Halsey St
Ste 108
Portland, OR 97220
Phone (503) 816-9552

Organizations & group practices 1

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1457907644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9739 SE FOSTER RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664540",
            "telephone_number": "503-816-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9739 SE FOSTER RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664540",
            "telephone_number": "503-816-9552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 NE Halsey St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972205670",
            "country_code": "US",
            "telephone_number": "503-816-9552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMY",
        "first_name": "VICTORIA",
        "middle_name": "SHAVANNAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L17408",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.70088656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.