Individual provider Active NPI

Beatrice A Fifer, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1700822756
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
#1698 Issued in OR
Practice address
833 SW 11TH Ave
913
Portland, OR 97205-2125
Phone
(503) 222-2420
Fax
(503) 222-5395
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X #1698 OR Primary

Addresses

Primary practice location

833 SW 11TH Ave
913
Portland, OR 97205-2125

Mailing address

833 SW 11TH Ave
913
Portland, OR 97205-2125
Phone (503) 222-2420

Other names 1

  • Triss A Fifer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421001403 OR Practitioner - Clinical Social Worker 8325086044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

833 SW 11TH Ave
Suite 913
Portland, OR 97205-2123
Phone (503) 222-2420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
#1698ORMDClinical Social Worker
1698ORMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Triss Fifer PC Clinical CurrentSince Jun 19, 2009 Accepting new patients
Myers-Richards, Inc Past Accepting new patients

Locations

833 SW 11th Ave
Ste 913
Portland, OR 97205
Phone (503) 222-2420

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1700822756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE",
            "address_2": "913",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052125",
            "telephone_number": "503-222-2420",
            "fax_number": "503-222-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE",
            "address_2": "913",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052125",
            "telephone_number": "503-222-2420",
            "fax_number": "503-222-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIFER",
        "first_name": "BEATRICE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "#1698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISS",
            "last_name": "FIFER",
            "middle_name": "A",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.