Organization Active NPI

Joan B. Baggett, MSW, Inc.

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1477718583
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
L1804 Issued in OR
Legal business name
JOAN B. BAGGETT, MSW, INC.
Practice address
3939 NE Hancock Street
Suite 310
Portland, OR 97212-5321
Phone
(503) 417-8092
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Ms. Joan B. Baggett, MSW
Title
President
Phone
(502) 417-8092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X L1804 OR Primary

Addresses

Primary practice location

3939 NE Hancock Street
Suite 310
Portland, OR 97212-5321

Mailing address

3939 NE Hancock Street
Suite 310
Portland, OR 97212-5321
Phone (503) 417-8092

National Provider Directory

National Provider Directory

Locations

3939 NE Hancock St
Ste 310
Portland, OR 97212
Phone (503) 417-8092

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1477718583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 NE HANCOCK STREET",
            "address_2": "SUITE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125321",
            "telephone_number": "503-417-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 NE HANCOCK STREET",
            "address_2": "SUITE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125321",
            "telephone_number": "503-417-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN B. BAGGETT, MSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "BAGGETT",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-417-8092",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L1804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 29, 2008; 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.