Individual provider Active NPI

Eileen Masover, MSW

  • Clinical Social Worker
  • Milwaukie, OR
National Provider Identifier
1750447702
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L4069 Issued in OR
Practice address
2816 SE Harrison St
Ste 305
Milwaukie, OR 97222-7536
Phone
(971) 444-2944
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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 L4069 OR Primary

Addresses

Primary practice location

2816 SE Harrison St
Ste 305
Milwaukie, OR 97222-7536

Mailing address

22366 SE Ridgeview Dr
Damascus, OR 97089-8306
Phone (971) 444-2944

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
L4069ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clackamas County Past Accepting new patients
County of Clackamas Office of County Auditor 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1750447702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22366 SE RIDGEVIEW DR",
            "city": "DAMASCUS",
            "state": "OR",
            "postal_code": "970898306",
            "telephone_number": "971-444-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 SE HARRISON ST",
            "address_2": "STE 305",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227536",
            "telephone_number": "971-444-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOVER",
        "first_name": "EILEEN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.