Shalaine Joy Mistretta

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7632 Issued in OR

Practice address

20500 SE Highway 212
Damascus, OR 97089-7254

Phone

(503) 433-3996

NPI assigned

May 16, 2019

Last updated

Jul 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Serenity Counseling Services LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Damascus, OR
  • NPI 1114817657
  NPD Authorized official

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1629634431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28980 SE K W ANDERSON RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970800019",
            "telephone_number": "503-880-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20500 SE HIGHWAY 212",
            "city": "DAMASCUS",
            "state": "OR",
            "postal_code": "970897254",
            "telephone_number": "503-433-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRETTA",
        "first_name": "SHALAINE",
        "middle_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minh-Thu Jost, PHARM.D.
• David Kieres
• Mari Ann Mains, L.M.T.
• Caitlin Maxson, DPT
• Angela Lynn McGinley, CPHT
• Morris Sarriugarte DMD, PC
• Kelly Ann Nickerson, RN, BSN
• Malisa Norton
• Laura Jo Oconnor, CADC-R
• Rachel Panetta, PT, DPT

• Clinical Social Worker in Damascus, OR
• Providers in Damascus, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.