Active NPI
Nicholas Verdegan Ward, LCSW,CADC III, MAC
- Clinical Social Worker
- Tualatin, OR
National Provider Identifier
1649661331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- A3862
- Practice address
- 18650 SW Boones Ferry Rd., Suite 3
Tualatin, OR 97062 - Phone
- (503) 928-4777
- Fax
- (503) 928-4779
- NPI assigned
- Feb 17, 2015
- Last updated
- Feb 25, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | A3862 | OR | Primary |
Addresses
Primary practice location
18650 SW Boones Ferry Rd., Suite 3
Tualatin, OR 97062
Mailing address
18650 SW Boones Ferry Rd., Suite 3
Tualatin, OR 97062
Phone (503) 928-4777
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
| License | State | Type | Specialty |
|---|---|---|---|
| A3862 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coda, Inc. | Clinical | Past | Accepting new patients |
| Coda, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Seaside, OR
- NPI 1750912184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1649661331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18650 SW BOONES FERRY RD., SUITE 3",
"city": "TUALATIN",
"state": "OR",
"postal_code": "97062",
"telephone_number": "503-928-4777",
"fax_number": "503-928-4779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18650 SW BOONES FERRY RD., SUITE 3",
"city": "TUALATIN",
"state": "OR",
"postal_code": "97062",
"telephone_number": "503-928-4777",
"fax_number": "503-928-4779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "NICHOLAS",
"middle_name": "VERDEGAN",
"name_prefix": "Mr.",
"credential": "LCSW,CADC III, MAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-17",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "A3862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.