Individual provider Active NPI

Rai D Carvalho, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1710472543
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L11987 Issued in OR
Practice address
329 NE Couch St
Portland, OR 97232-1332
Phone
(503) 453-0869
NPI assigned
Jun 25, 2018
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 L11987 OR Primary

Addresses

Primary practice location

329 NE Couch St
Portland, OR 97232-1332

Mailing address

2705 E Burnside St Unit 206
PMB 10
Portland, OR 97214
Phone (503) 381-3437

Other names 1

  • Ryan D Carvalho Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
L11987ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Breaking Through Barriers LLC Clinical Current Accepting new patients
Rebel Heart Therapy LLC PastSince Oct 1, 2023 Accepting new patients
Western Psychological and Counseling Services LLC PastSince May 1, 2023 Accepting new patients

Locations

2705 E Burnside St
Ste 206
Portland, OR 97214
Phone (503) 319-9553

329 NE Couch St
Portland, OR 97232
Phone (458) 200-1276

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1710472543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 E BURNSIDE ST UNIT 206",
            "address_2": "PMB 10",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97214",
            "telephone_number": "503-381-3437",
            "fax_number": "971-350-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 NE COUCH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321332",
            "telephone_number": "503-453-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVALHO",
        "first_name": "RAI",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYAN",
            "last_name": "CARVALHO",
            "middle_name": "D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.