Cemented Rose Therapeutics, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L6941 Issued in OR

Legal business name

CEMENTED ROSE THERAPEUTICS, LLC

Practice address

4110 NE 122ND Ave Ste 115
Portland, OR 97230-1384

Phone

(971) 227-3553

NPI assigned

Jun 12, 2017

Organization subpart

No

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

Authorized official

Name

Sharnissa T Secrett

Title

Behavioral Health Director

Phone

(971) 227-3553

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Priya Srikanth

  • Counselor
  • Portland, OR
  • NPI 1477346369
  NPD
• Joshua Thomas

  • Student in an Organized Health Care Education/Training Program
  • Portland, OR
  • NPI 1154246767
  NPD (past)

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1699205773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 NE 122ND AVE STE 115",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301384",
            "telephone_number": "971-227-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 NE 122ND AVE STE 115",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301384",
            "telephone_number": "971-227-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEMENTED ROSE THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "SECRETT",
        "authorized_official_first_name": "SHARNISSA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "971-227-3553"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malgosia Zofia Cegielski, PHD
• Rosemary Naomi Ceja Schrecengost
• Marguerite Anne Celeste, LAC, LMT
• Celilo Natural Health Center, LLC
• Britny Cellerini, REIKI MASTER
• Melinda Cemore
• Tara Darice Cenova, M.S., CCC-SLP
• Paula Helen Censoni, DMD
• Centennial School District 28 302JT
• Center Down LLC

• 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 Sep 6, 2023; 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.