Individual provider Active NPI

Sidney Susan Newell, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1487096871
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2731 Issued in OR
Practice address
901 SE Oak St
Suite 106
Portland, OR 97214-1338
Phone
(503) 802-1023
Fax
(503) 517-0005
NPI assigned
Jul 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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 2731 OR Primary

Addresses

Primary practice location

901 SE Oak St
Suite 106
Portland, OR 97214-1338

Mailing address

901 SE Oak St
Suite 106
Portland, OR 97214-1338
Phone (503) 802-1023

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

LicenseStateTypeSpecialty
2731ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1487096871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SE OAK ST",
            "address_2": "SUITE 106",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141338",
            "telephone_number": "503-802-1023",
            "fax_number": "503-517-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SE OAK ST",
            "address_2": "SUITE 106",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141338",
            "telephone_number": "503-802-1023",
            "fax_number": "503-517-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "SIDNEY",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "2731",
            "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 25, 2013; 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.