Active NPI
Teresa Northy
- Clinical Social Worker
- Sherwood, OR
National Provider Identifier
1568108751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- A14605
- Practice address
- 18340 SW Colfelt LN
Sherwood, OR 97140-8882 - Phone
- (503) 800-8939
- NPI assigned
- May 10, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | A14605 | OR | Primary |
Addresses
Primary practice location
18340 SW Colfelt LN
Sherwood, OR 97140-8882
Mailing address
11575 SW Pacific Hwy # 127
Tigard, OR 97223-8671
Phone (503) 800-8939
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 |
|---|---|---|---|
| A14605 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Community Services Northwest | Past | Accepting new patients | |
| Lutheran Community Services Northwest | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- McMinnville, OR
- NPI 1255542106
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Klamath Falls, OR
- NPI 1720105489
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1568108751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11575 SW PACIFIC HWY # 127",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238671",
"telephone_number": "503-800-8939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18340 SW COLFELT LN",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971408882",
"telephone_number": "503-800-8939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTHY",
"first_name": "TERESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-10",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "A14605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherwood, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.