Amanda Meira Brady, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L10644 Issued in OR

Practice address

7229 SE 50TH Ave
Portland, OR 97206-8311

Phone

(206) 707-5801

NPI assigned

Aug 22, 2022

Last updated

Aug 22, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1639898984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 SE 50TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972068311",
            "telephone_number": "206-707-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 SE 50TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972068311",
            "telephone_number": "206-707-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "AMANDA",
        "middle_name": "MEIRA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "epic",
            "affiliation": "Y",
            "endpointDescription": "charting system",
            "affiliationName": "Oregon Health & Science University",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7229 SE 50th Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972068311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• George Ross Bradshaw, DNP, CRNA
• Jes Ryan Bradshaw, MA
• Andrea S. Bradway-Kuske, CADC 1, QHMP, THW
• Ashley Dawn Brady Power
• Aleta Lisa Brady
• Anna Kristin Brady, MD
• Caitlin Brady, RN
• Dyann Cathleen Brady, PWS
• Elise Marie Brady
• Grace Michele Brady

• Clinical Social Worker in Portland, OR
• Providers in Portland, 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 Aug 22, 2022; 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.