Shearwater Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SHEARWATER COUNSELING SERVICES

Practice address

510 SW 3Rd Ave Ste 200
Portland, OR 97204-2507

Phone

(808) 281-4616

Fax

(937) 544-4009

NPI assigned

Jun 12, 2019

Last updated

Jun 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carla Fadriquela, LCSWNPI 1003373101

Title

Owner

Phone

(971) 351-0485

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carla E Fadriquela, LCSW

  • Clinical Social Worker
  • Beaverton, OR
  • NPI 1003373101
  NPD (past) Authorized official

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1467011577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 SW 123RD AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051325",
            "telephone_number": "808-281-4616",
            "fax_number": "937-544-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SW 3RD AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042507",
            "telephone_number": "808-281-4616",
            "fax_number": "937-544-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEARWATER COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "FADRIQUELA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-351-0485",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Shear, MD
• Dalton Shearer, DMD
• Holly Shearer, OTR/L
• Tamara L Shearer, OTR/L
• Gayle Lauren Shears, PA-C
• Claudia Shebloski
• Caryn Shebowich
• Benjamin Robie Shechet, LCMHC, LPC
• Lauren Dunivant Shechter, LCSW
• Loree Sheckels, LPC

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.