Sara Abbott, LCSW
Individual provider Active NPI Clinical Social Worker · Portland, OR
NPI 1629600259 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1629600259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- L11421 (OR)
- Practice address
- 14600 NW Cornell Rd
Portland, OR 97229-5442 - Phone
- (503) 645-3581
- NPI assigned
- Feb 11, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- A Healing Intention LLC
Practice addresses (Care Compare)
12655 SW Ctr St
Beaverton, OR 97005-1624
Phone (503) 303-0304
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231228002521 | OR | Practitioner - Clinical Social Worker | 9032569306 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Healing Intention, LLC | Current |
Accepting new patients | |
| Bright Horizons Psychiatric Group LLC | Past |
Accepting new patients |
Locations
12725 SW Millikan Way
Ste 300
Beaverton, OR 97005
Phone (503) 303-0304
12655 SW Center St
Ste 320
Beaverton, OR 97005
Phone (503) 303-0304
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L11421 | OR | Yes |
| Counselor | 101Y00000X |
Addresses
Primary practice location
14600 NW Cornell Rd
Portland, OR 97229-5442
Mailing address
14600 NW Cornell Rd
Portland, OR 97229-5442
Other providers in Portland, OR
- Marissa Abbott
- Matthew Abbott
- Miya Gray Abbott
- Roxana Ruth Massey Abbott
- Ryan David Abbott
- Abc Wellness Center
- Marissa Autumn Abdallah
- Nader Abdallah
- Whaill M Abdallah
- Amged Abdelmonim Tagelsir Abdelaziz
All providers in Portland, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.