NPIMap

Organization Active NPI

Tracy Bryce Farmer LCSW PC

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1588052393
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5679 Issued in OR
Legal business name
TRACY BRYCE FARMER LCSW PC
Practice address
1020 SW Taylor St
Suite 435
Portland, OR 97205-2543
Phone
(503) 841-2722
Fax
(541) 668-8013
NPI assigned
Dec 31, 2014
Last updated
Sep 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Ms. Tracy Bryce Farmer, LCSW, MFA, CADCNPI 1992145759
Title
President
Phone
(503) 451-3267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Clinical Social Worker 1041C0700X 5679 OR Primary

Addresses

Primary practice location

1020 SW Taylor St
Suite 435
Portland, OR 97205-2543

Mailing address

1020 SW Taylor St
Suite 435
Portland, OR 97205-2543
Phone (503) 841-2722

National Provider Directory

National Provider Directory

Locations

1020 SW Taylor St
Ste 448
Portland, OR 97205
Phone (503) 451-3267

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1588052393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST",
            "address_2": "SUITE 435",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052543",
            "telephone_number": "503-841-2722",
            "fax_number": "541-668-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST",
            "address_2": "SUITE 435",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052543",
            "telephone_number": "503-841-2722",
            "fax_number": "541-668-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY BRYCE FARMER LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "BRYCE FARMER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-451-3267",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, MFA, CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "5679",
            "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 Sep 30, 2016; 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.