Individual provider Active NPI

Morgan Christina Bresko, MSW, MPH

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1598091969
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L5576 Issued in OR
Practice address
3716 NE Martin Luther King Jr Blvd
Portland, OR 97212-1111
Phone
(503) 288-8066
Fax
(503) 288-8168
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
L5576ORMDClinical Social Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L5576 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

3716 NE Martin Luther King Jr Blvd
Portland, OR 97212-1111

Mailing address

3716 NE Martin Luther King Jr Blvd
Portland, OR 97212-1111
Phone (503) 288-8066

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2024.

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1598091969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 NE MARTIN LUTHER KING JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121111",
            "telephone_number": "503-288-8066",
            "fax_number": "503-288-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 NE MARTIN LUTHER KING JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121111",
            "telephone_number": "503-288-8066",
            "fax_number": "503-288-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESKO",
        "first_name": "MORGAN",
        "middle_name": "CHRISTINA",
        "credential": "MSW, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5576",
            "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 25, 2024; 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.