Individual provider Active NPI

Beth Rossi, LCSW, CADCII

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1568708295
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6827 Issued in OR
Practice address
8555 SW Apple Way Ste 320
Portland, OR 97225-1775
Phone
(971) 727-0563
NPI assigned
Dec 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 09-12-63 OR
Clinical Social Worker 1041C0700X L6827 OR Primary

Addresses

Primary practice location

8555 SW Apple Way Ste 320
Portland, OR 97225-1775

Mailing address

8555 SW Apple Way Ste 320
Portland, OR 97225-1775
Phone (971) 727-0563

Other practice location 1

1323 NE Orenco Station Pkwy
suite 200
Hillsboro, OR 97124-5425
Phone (503) 740-1971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2019 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L6827ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1568708295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 SW APPLE WAY STE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251775",
            "telephone_number": "971-727-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 SW APPLE WAY STE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251775",
            "telephone_number": "971-727-0563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1323 NE Orenco Station Pkwy",
            "address_2": "suite 200",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971245425",
            "country_code": "US",
            "telephone_number": "503-740-1971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "BETH",
        "credential": "LCSW, CADCII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "09-12-63",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.