Active NPI
Beth Rossi, LCSW, CADCII
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1568708295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L6827
- 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
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 |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| L6827 | OR | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.