Active NPI
Heather Teters, MSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1497030431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7719
- Practice address
- 1234 NE 75TH Ave
Portland, OR 97213-6127 - Phone
- (503) 799-0065
- NPI assigned
- Oct 20, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 7719 | OR | Primary |
Addresses
Primary practice location
1234 NE 75TH Ave
Portland, OR 97213-6127
Mailing address
1234 NE 75TH Ave
Portland, OR 97213-6127
Phone (503) 799-0065
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Portland |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7719 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590796800000",
"number": "1497030431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 NE 75TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972136127",
"telephone_number": "503-799-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 NE 75TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972136127",
"telephone_number": "503-799-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TETERS",
"first_name": "HEATHER",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2020-05-30",
"certification_date": "2020-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "7719",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Portland",
"affiliation": "N",
"address_1": "1234 NE 75th Ave",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972136127",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.