Active NPI
Carla Canfield, LCSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1477815033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4920
- Practice address
- 3583 NE Broadway St
Portland, OR 97232-1820 - Phone
- (503) 446-6228
- NPI assigned
- Jun 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L4920 | OR | Primary |
Addresses
Primary practice location
3583 NE Broadway St
Portland, OR 97232-1820
Mailing address
2113 SE Main St
Portland, OR 97214-3839
Phone (503) 545-7887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4920 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1477815033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2113 SE MAIN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143839",
"telephone_number": "503-545-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3583 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321820",
"telephone_number": "503-446-6228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANFIELD",
"first_name": "CARLA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-11",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4920",
"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 Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.